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Who pays for fills?



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If your insurance covered your surgery, do they also cover all the fills? If not, roughly how much does a fill cost?

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usually yes ins. pays. Check with your provider to be sure.

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Insurance companies usually foohe bill if they covered surgery, but if they do not , then it is up to the patient, and it can get pretty pricey. Hopefully your insurance will cover! good luck to you!

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My insurance doesn't cover fills. at my doctors office they are 250 but I know most places are cheeper.

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My insurance does not cover fills and they are around 300.00

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My insurance paid for the surgery and a year of follow-up care, including fills. Luckily for me my new insurance covers fills also. But just to be on the safe side, I have a flexible spending account that will pay for any and all medical bills not covered by insurance. My doctor charges $175.00. This covers office visit and fill.

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I asked my surgeon about this because I am unsure about what my insurance situation will be once I get out of school. (I am currently on my dad's insurance)

He told me that he tries to work with patients and that he would make the price reasonable..... I am hoping this is true, lol.

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My insurance (Blue Choice) paid for the surgery (including an overnight stay), but they deny fills because they say they don't cover things related to weight loss or weight control. It makes no sense to me to cover a surgery that is adjustable for reason of weight loss because of medical conditions aggravated by excess weight, and then not cover the "adjustments" but maybe that is just me. Who knows how insurance companies think. I am just glad they paid for the surgery. I accidentally got a bill for my first fill, but it was during the 90 day global period where everything was covered under the surgery so they took it off. If I remember correctly, the surgeon billed $200 or so, and after the denial billed me for $97. My second fill should have been billed to me, but I never got a bill (no complaints here). So I just had my third fill about a month ago, and haven't seen anything yet, but expect I will get a hit for $97. Not too bad all things considered.:smile2:

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Since my surgery, we have switched insurance companies. They do not pay for fills. I can appeal this. Any idea where I can go for help in writing this appeal? Thanks.

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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.
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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