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Total Out of Pocket Expenses so far anyone else want to share???



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$103.29 =Hospital Fee for Upper GI/Chest X-Ray 20% not covered by insurance

$159.80 = Nutritionist $100 program fee/$15 co-pay /$44.80 20% not covered by insurance.

$60.00 = Psych Evaluation co-pay

I think my out of pocket for the surgery will be $2,000

Total

$2,323.09 (United Health Care)

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I have been fortunate so far. I don't have all of my insurance approvals yet, but so far I have only paid my $30 copay for the initial visit with the surgeo'ns office. My insurance has 100% hospitol coverage so they have paid 100% of the anesthesia and surgeon's fee. I'm still waiting to hear what they will pay for the hospitol bill, that portion alone was $30,000, so I am a little nervous about that. Even if they deny some of it I hopefully won't be responsible for it because the hospitol is in my PPO. My insurance is Highmark Blue Cross Blue Shield thru the Railroad. I was wondering about this also so look forward to replies :)

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20 x 11 for pre op NUT visits, psych eval, md eval, required support meetings

60 for upper GI

20 for pre op lab work

15 for pre op cxr

556 for hospital bill

150 for surgon

60 post op swallow

20 x 3 for required post op visits and support group

now I'm just waiting to see how much a fill is

I have BCBS through the hospital, pays 90% of all after standard deductables

Hope this helps :)

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Thankfully I have TRICARE (retired military) and they are paying 100%! I am considered morbidly obese with diabetes and other comorbidities. They just started offering this to our community, thank goodness!

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pretty much everything is covered by my insurance. i am VERY fortunate. ive paid countless $10 and $15 co-pays over the past year. my hospital's bariatric program has a $350 program fee....that covers the nutrionist visits, the classes, the psych consult and one other thing that completely escapes me right now! lol...i'll edit this post when i remember.

everything else has been covered. i had a sleep study and i needed a c-pap, i was expecting to have to dole out for that, but NOPE! covered by insurance! even the guy at the medical supply place who fitted me and set me up was surprised that it was completely covered. and this thing is NICE! i looked it up online and its over $1200! :o

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Thankfully I have TRICARE (retired military) and they are paying 100%! I am considered morbidly obese with diabetes and other comorbidities. They just started offering this to our community, thank goodness!

I have Tricare as well and I thought they pay for everything but they aren't paying for the nutritionist. I am diabetic as well. They told me Tricare covers everything except for that. So, for 4 visits it is $323.50 and that is my total cost.

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$35 x 3 Psychiatrist Appts

$35 x 1 Primary Physician papers

$150 x 1 Psychiatric Report

$110 x 1 Nutritionist

$170 x 1 Specialist

$110 x 1 Pre op consultation

$2,500-4,000 for the 10% I'll pay for the procedure. BCBS will pay 90%

Total Cost will be around $3,180-4,680

That doesn't count fills, which will be around $100 each.

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20 x 11 for pre op NUT visits, psych eval, md eval, required support meetings

60 for upper GI

20 for pre op lab work

15 for pre op cxr

556 for hospital bill

150 for surgon

60 post op swallow

20 x 3 for required post op visits and support group

now I'm just waiting to see how much a fill is

I have BCBS through the hospital, pays 90% of all after

standard deductables

Hope this helps :)

How tough was the approval process???? I have bcbs too... Still waiting...

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How tough was the approval process???? I have bcbs too... Still waiting...

Mine was fast, after ALL the paperwork was in, pcp didn't send letter till I called the office every hr for 2 days straight, but that was in on a wed and I was approved the following Tuesday, good luck!

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I am a cash pay (my BMI is not high enough for ins. To cover) and my total out of pocket expense is $9,900.00 and that includes 1 year of follow up visits.

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I had to pay $100 for my consultation, another $1200 for a program fee, $1000 surgery access fee, $2600 deductible....ouch.....$4900 for me and that is with BCBS of AZ

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i paid $250 for nutritionist which includes lifetime follow up

$250 for psychiatric evaluation

$50 doctors visit copay

i think i have a $300 outpatient hospital copay and then $50 for each follow up visit and fill by the doctor

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I have BCBS of IL and I only had to pay my deductible which was $4,000 because my surgeon is out of network. If I picked a surgeon in network then my deductible would have been only $1,000! But I didnt want to take any chances :)

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