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I have Aetna PPO and I was wondering what I’d have to pay out of pocket. We have a 15% coinsurance.



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I have Aetna PPO. I was trying to get an estimate of what I will have to pay for the actual surgery. Anyone else have Aetna PPO?

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That all depends on how much your surgeon charges and your hospital charges. They vary by doctor and location. I heard $25,000 was a ballpark estimate on total costs. My surgery was $53,000 but of course insurance didn't pay full price and only paid like $25,000 and my out-of-pocket was less than $1,000

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I have Aetna EPO plan and my deductible is $1,000.00 plus $50.00-$60.00 for some doctors visits.

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Nobody here can really say, (without a crystal ball, lol) The costs are quite variable depending upon what procedure you are having done, where, what hospital or clinic, in network or out, etc. Self pay costs, which are a better gauge of actual costs as opposed to what is "charged" and then discounted, are usually somewhere between 10k and 20k for a VSG, somewhat higher for an RNY or DS. Your best bet is to talk to the insurance coordinator in your surgeon's office to get an estimate.

Timing and other medical expenses that you and/or your family incur can influence things as well - my surgeon was out of network for Aetna, but by the time they paid off, we had met our policy's max out of pocket limit, so they paid it 100%. It's a big YMMV thing.

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