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Out of pocket expense

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

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

Sent from my iPhone using the BariatricPal App

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.

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.

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  • Author

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

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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.

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.

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.

  • Author

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

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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


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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.

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Okay I surely will not complain anymore!

  • Author

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

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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.

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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.

I had no idea about the amount until I got to my surgery date...yes 2 hours before surgery and I checked in... Luckily it wasn't noted that I was reached about a balance prior to my procedure and the insurance waived it and billed me, which gave me the opportunity to make payments. God was blessing me for sure because I would have been devastated if surgery was canceled due to it (I left my phone,credit cards and money with my daughter when she dropped me off) and I probably would have took it as a DUMB sign to not proceed on my new journey. Sleeved Nov. 9th and down 26lbs since surgery...Good luck to you and your success.

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