Stajin22,
Yes the $600.00 has to be paid before your appointment. I had already met my deductible b/c I had several different doctors appointments throughout the year. If nothing has been applied towards your deductible then it should be paid to the facility performing your surgery. For example: lets say you went to the doctor a month ago for a sore throat, and paid your normal copay, then that bill will be applied towards your deductible. Once you've recieved 600.00 worth of care, then your deductible is met. So for me, I stay @ the doctor for every little thing so thats how I met mine. Good Luck.