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How much do you pay through the process?



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This entirely depends on if your insurance covers it or not. I'm having my sleeve surgery on Tuesday and my insurance isn't covering it. I'm paying out of pocket for the whole surgery. Total, it's probably around $25-26k. I know the hospital fee was $23k and then there were a few other charges through my doctors office. The only thing my insurance covered were my tests and nutrition appointments.

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If anyone has MEDICARE...federal government insurance at age 65 or because of a disability, Medicare pays 100% for Bariatric surgery. However, check with your providers and with Medicare. UHC, also pays 100%, again you need to confirm with your provider as well as the insurance carrier; it is managed differently depending on region and type of insurance. I am a novice in the insurance arena. The only reason I know this, I checked with my insurance carrier and MEDICARE. This may not be accurate information for others. I suspect there are many on this forum who can answer this much better than me. Good luck -

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I'm out-of-pocket $5500 in Mexico (on Nov 30th) not including my flights.

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3 hours ago, niabo said:

I'm out-of-pocket $5500 in Mexico (on Nov 30th) not including my flights.

I'm wondering what are the covid restrictions for flying and in Mexico?

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I did Mexico as well back in June but I drove down. They did temp checks going into Mexico but that was it. Just over $4000 all in including hotel. It was an extra $400 to repair a hernia but I knew that possibility existed going in.

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I think it really varies on 1. your insurance and 2. if you are self pay. My insurance covered the surgery 100% and I didn't have to pay anything.

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On 11/15/2020 at 7:28 PM, It's time. said:

I'm wondering what are the covid restrictions for flying and in Mexico?

From what I hear there aren't any (from a friend who flew a month ago for a wedding). I'm flying into San Diego, and their driver picks you up and drives across the border though. The facility where I'm staying has a fairly strict policy though (masks all the time, thorough cleaning, etc).

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My insurance covered it, Cigna, but I had to pay my out of pocket maximum (we have a family plan)

Out out of pocket maximum is $5500, but my husband’s company pays the first $1000 towards our deductible which is included in the $5500, so we personally paid $4500 out of pocket

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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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