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FMLA approved....one more hurdle to go.

My surgery is scheduled for April 18th. I've already bought all my Vitamins and such, and have started my 2 week pre-op liquid diet. Now that I know I have the time off work that I need, my last huge worry is the amount that my co-pay for the surgery itself will be. I have been told I'll have to pay it the day of surgery and I am terrified I won't have enough money for it. I'm trying to not stress too much and stay positive, but this could potentially put everything at a screeching halt and I can't imagine not having the surgery at this point. I guess just pray for me guys, and if you don't pray please keep me in your thoughts or send some good vibes my way!

Sent from my LGLS990 using the BariatricPal App

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  • tiffanymarie6997
    tiffanymarie6997

    I ended up looking on Anthem.com and it looks like I only have less than $500 before I meet my out of pocket limit so I'm hoping that means it won't be any more than $500. I'm still going to call and

  • You should be able to get an estimate of the amount you will owe now.....If I were you I'd give them a call and ask.

  • @@tiffanymarie6997 If I were you I would ask them to estimate it based on if it had to be paid "today"......at least that way you will know the "most" you'll be expected to pay.....going in blind is

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My surgery is scheduled for April 18th. I've already bought all my Vitamins and such, and have started my 2 week pre-op liquid diet. Now that I know I have the time off work that I need, my last huge worry is the amount that my co-pay for the surgery itself will be. I have been told I'll have to pay it the day of surgery and I am terrified I won't have enough money for it. I'm trying to not stress too much and stay positive, but this could potentially put everything at a screeching halt and I can't imagine not having the surgery at this point. I guess just pray for me guys, and if you don't pray please keep me in your thoughts or send some good vibes my way!

Sent from my LGLS990 using the BariatricPal App

Is it a copay or your deductible that it's being applied to. If it's your deductible they aren't allowed to collect up front...a claim as to be submitted and the insurance company as to approve based upon the contracted agreed amount. If it's your copay, then that amount is usually already outlined in your summary of benefits. Hope that helps. I work insurance and I know how frustrating it can be

Sent from my SM-G935T using the BariatricPal App

  • Author

My surgery is scheduled for April 18th. I've already bought all my Vitamins and such, and have started my 2 week pre-op liquid diet. Now that I know I have the time off work that I need, my last huge worry is the amount that my co-pay for the surgery itself will be. I have been told I'll have to pay it the day of surgery and I am terrified I won't have enough money for it. I'm trying to not stress too much and stay positive, but this could potentially put everything at a screeching halt and I can't imagine not having the surgery at this point. I guess just pray for me guys, and if you don't pray please keep me in your thoughts or send some good vibes my way!

Sent from my LGLS990 using the BariatricPal App

Is it a copay or your deductible that it's being applied to. If it's your deductible they aren't allowed to collect up front...a claim as to be submitted and the insurance company as to approve based upon the contracted agreed amount. If it's your copay, then that amount is usually already outlined in your summary of benefits. Hope that helps. I work insurance and I know how frustrating it can be

Sent from my SM-G935T using the BariatricPal App

I honestly don't know, I'm not the brightest in the insurance department! I just know I have an out of pocket maximum of $2500 and I'm close to $2100 already, before the surgery.

Sent from my LGLS990 using the BariatricPal App

My surgery is scheduled for April 18th. I've already bought all my Vitamins and such, and have started my 2 week pre-op liquid diet. Now that I know I have the time off work that I need, my last huge worry is the amount that my co-pay for the surgery itself will be. I have been told I'll have to pay it the day of surgery and I am terrified I won't have enough money for it. I'm trying to not stress too much and stay positive, but this could potentially put everything at a screeching halt and I can't imagine not having the surgery at this point. I guess just pray for me guys, and if you don't pray please keep me in your thoughts or send some good vibes my way!

Sent from my LGLS990 using the BariatricPal App

Is it a copay or your deductible that it's being applied to. If it's your deductible they aren't allowed to collect up front...a claim as to be submitted and the insurance company as to approve based upon the contracted agreed amount. If it's your copay, then that amount is usually already outlined in your summary of benefits. Hope that helps. I work insurance and I know how frustrating it can be

Sent from my SM-G935T using the BariatricPal App

I honestly don't know, I'm not the brightest in the insurance department! I just know I have an out of pocket maximum of $2500 and I'm close to $2100 already, before the surgery.

Sent from my LGLS990 using the BariatricPal App

If you're close to your MOOP then you really won't pay much more than that to meet the gap. Call and simply ask, if it's copay or deductible. They will have information for both. You ask what the co-pays will be for hospital stay/surgeon fees/facility etc and then ask what you have met thus far towards deductible and your max out of pocket (MOOP) this information is there. Make them provide it

Sent from my SM-G935T using the BariatricPal App

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