My Company uses UHC, AETNA, and some smaller health care providers. They all have weight loss surgery in their packages. Aetna, however has the 3-6 month diet regimen.

Luckily for me my provider is UHC. Which poses my next question.

My surgery inpatient/outpatient coverage is 90% covered by uhc after deductible ($100) is met. Can anyone share from their experiences what the 10% cost to me will be? Will I have to pay up front or will my insurance company bill me? I am going through Lap-Band Solutions in Dallas so any advice you can offer definitely will help.

I'll probably know for sure after my consultation but knowing a rough estimate sooner would be wonderful.

Thanks

My Company uses UHC, AETNA, and some smaller health care providers. They all have weight loss surgery in their packages. Aetna, however has the 3-6 month diet regimen.

Luckily for me my provider is UHC. Which poses my next question.

My surgery inpatient/outpatient coverage is 90% covered by uhc after deductible ($100) is met. Can anyone share from their experiences what the 10% cost to me will be? Will I have to pay up front or will my insurance company bill me? I am going through Lap-Band Solutions in Dallas so any advice you can offer definitely will help.

I'll probably know for sure after my consultation but knowing a rough estimate sooner would be wonderful.

Thanks

I have a 20% co pay andyes you have to pay for it up front. Although my surgeon is letting me pay in 4 installments. 20% of the $15,500.00 he charges will give me a bill of 3,100 dollars. I am guessing with 10% copay you will need to come up with $1000-$1,700. Not sure if the surgeon u go to will let you make payments instead of up front though.

I have UHC and also had a 10% copay, but I haven't had to pay anything yet. I haven't received a bill yet, except from the anesthesiologist. I'll let you know when and if I do. I was banded in SC, so my surgeon may be different, but he didn't require any money up front. That was one of my earliest concerns, so I asked when I went to the first appointment.

I have UHC (Choice) and mines is covered 100% as well as my fills. Thank God! I just attended the seminar on the 17th and hoping to hear from them with my approval within the next few weeks. Wish me luck!! (Smiling)...Can't wait to get this fat off of me!

I asked AIGB/TrueResults in Richardson the question of approximately what they would charge my insurance, Cigna, and they of course couldn't give me a number. I would guess it will not be what they would charge a cash paying customer. What normally happens is they "negotiate" the rate and you will pay 10% of the negotiated rate. I'm in the six month diet period and the first visit just cleared insurance. AIGB submitted $300 but the negotiated rate was $100.

My insurance (Aetna POS II) tells me they have a 10k lifetime max. Does anyone have an idea of what this would leave me out of pocket? Are the fills really expensive?

Is that lifetime out of pocket or lifetime benefits? I don't think it's as easy as giving a figure because the charges will be different from patient to patient and insurance to insurance.

i have uhc that pays 90%. i did not have to pay up front, i will receive a bill and my max out of pocket is 2k...so i expect to pay that with all the various bills i will receive =)

They told me that was lifetime benefits for Bariatric surgery. But I can't seem to get any hospitals to give an estimate of what the total cost would be (so I know how much I'll have to pay after the 10k is met).