Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Out of pocket expense



Recommended Posts

I have bcbs ny. Does anyone know when the out of pocket is due or will I be billed. I am responsible for 20% and my date is 12/27

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

I had to pay the hospital what insurance didn't cover up to my annual maximum amount the day before surgery.

Share this post


Link to post
Share on other sites

Did they tell you that in advance? Do you live in NY

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

I am in Texas and the hospital told me that when I went for my presurgery appt the week before surgery. Then they called the day before surgery and I gave them my credit card info. It may be the policy of the facility and not insurance. They did tell me they had called insurance to get my deductible and maximum out of pocket expenses.

Share this post


Link to post
Share on other sites

I'm in Texas as well. went to my presurgery last week and still haven't gotten a hospital total yet.No word from my anesthetic dr either. My surgery is next week.

My actual surgeon is collecting her full cost tomorrow. I have Aetna and I'm required to pay my surgeon $5000 plus a co-pay of about $1000 more.

Sent from my iPad using the BariatricPal App

Share this post


Link to post
Share on other sites

Wow Well my surgery is 12/27 abs and I haven't heard anything either way

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

You probably will when you go for pre surgery appt. at facility. Forgot that I also had the anesthesiologist office call me the day before surgery and ask if I had met my deductible. Since I had not, they needed a $200 deposit. Everybody wants to make sure they get paid I guess.

Share this post


Link to post
Share on other sites

I'm on the BCBS PPO plan, and I had to fork out $6500 but that was to meet my deductible and a few pre-op tests that weren't covered by my insurance. Having said that, it was so so so worth it.

Share this post


Link to post
Share on other sites

I have BCBS NC, and I paid my doctor $1500 on Monday and Tuesday the pretest facility told me I have to pay half ($1678) on my pre-test day. I am trying my best not to stress, but I do not want to come this far to get turned back. Nor do I want to raise my blood pressure stressing.

Share this post


Link to post
Share on other sites

Wow such great information guys. I too have PPO, but Sai what pre-op test wasn't covered

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

I am in NC.

The Dr. said to call them for an estimate but I didnt get a call back and to be honest it slipped my mind. Then after I paid the Dr. she said to call and tell her how much I paid and I would get my amount from them. I dont know anything about out of pocket expenses only my deductable and that has been met. I'm trying not to stress right now.

Did they tell you that in advance? Do you live in NY


Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

I'm in Texas as well. went to my presurgery last week and still haven't gotten a hospital total yet.No word from my anesthetic dr either. My surgery is next week.

My actual surgeon is collecting her full cost tomorrow. I have Aetna and I'm required to pay my surgeon $5000 plus a co-pay of about $1000 more.

Sent from my iPad using the BariatricPal App

Okay I surely will not complain anymore!

Share this post


Link to post
Share on other sites

no stress it's all good. I just wanted an idea here. I'm counting down 19 days to go

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

I paid my Dr his portion week before surgery and the hospital gave me total day before and they took credit card or check upon registration at hospital. The amount wasn't exact but close. After claim was paid they billed me the balance which was approximately $100.

Sent from my H1611 using Tapatalk

Share this post


Link to post
Share on other sites

I was so blessed... I only had to pay 17.00 to the hospital because that's all I was short on my deductible for 2016. I was so stoked. I have Cigna insurance.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×