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Hospital

Ok now I have my surgery date which is June 3 however I paid my doctor the $221.27 for whatever I had to pay I can’t remember. Now today the hospital called and informed me that I have to pay 2,821.00 on the date of my surgery or I can’t have it. I told that lady why in the hell would I just not receive this information some people don’t have that type of money. She said we will only accept half and we will bill you for the rest ok but still I don’t have $1400. This is crazy because I should have known this information way before now. When I had the sleeve my doctor had the hospital to tell me what I would have to pay out of pocket and they put me on a three month payment plan before I had my surgery. I actually thought that I wouldn’t have to pay since it was deem medical reason for the revision to bypass. My insurance company said that I hadn’t met my in network out of pocket deductible which is $5,500 some of these insurance companies are complete riff off.

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  • I'm very sorry to her this. However, I do somewhat understand your plight! My health insurance through my husbands employer has no provision for WLS. No coverage, no way, no how, doesn't matter what

  • GradyCat
    GradyCat

    Hospitals and insurance companies have guidelines to follow. Maybe they'll work with you on making payments so that you can have the surgery as planned.

  • You’ll have to call your insurance company and find out what they cover and what they don’t. That’s your responsibility.

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Hospitals and insurance companies have guidelines to follow. Maybe they'll work with you on making payments so that you can have the surgery as planned.

I'm very sorry to her this. However, I do somewhat understand your plight! My health insurance through my husbands employer has no provision for WLS. No coverage, no way, no how, doesn't matter what the doctor says! So, I am self pay and taking a nice 4 day vacay to Mexico in October. They also won't cover any office visit even remotely related to my Sleeve. So I must be creative and not tell them I had the surgery, well at least for a while. Otherwise I get charged $210 + for an office visit.

I do agree, they should have been able to give you that info prior to scheduling the procedure! Geeze! I just had my Gall Bladder removed, they gave me the good news ($0) right there, during surgical consult. Even before scheduling my procedure. I'm not sure I know anyone that can come up with that amt in such a short time, unless their name is Mastercard or Visa!

We all blame the Insurance Companies, however, it's the contract that an Employer signs for coverage through the Insurance Company to provide an employees coverage. That still doesn't mean they couldn't have covered the billing and amt due prior to or during the scheduling process.

On 05/23/2019 at 13:47, Lifeafter40 said:



Ok now I have my surgery date which is June 3 however I paid my doctor the $221.27 for whatever I had to pay I can’t remember. Now today the hospital called and informed me that I have to pay 2,821.00 on the date of my surgery or I can’t have it. I told that lady why in the hell would I just not receive this information some people don’t have that type of money. She said we will only accept half and we will bill you for the rest ok but still I don’t have $1400. This is crazy because I should have known this information way before now. When I had the sleeve my doctor had the hospital to tell me what I would have to pay out of pocket and they put me on a three month payment plan before I had my surgery. I actually thought that I wouldn’t have to pay since it was deem medical reason for the revision to bypass. My insurance company said that I hadn’t met my in network out of pocket deductible which is $5,500 some of these insurance companies are complete riff off.


The hospital wanted me to pay close to the same amount as you and I couldn’t. So they asked for half and I couldn’t do that either. So I told her that I would pay my hospital co pay which was $200 and they agreed. You can always call them and see if you can pay your co pay and have them bill you the rest. Good luck
You’ll have to call your insurance company and find out what they cover and what they don’t. That’s your responsibility.

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