Jump to content
×
Are you looking for the BariatricPal Store? Go now!

bcbs fep co pay



Recommended Posts

i'm dying to know what my copay will be for the band device. i have to pay %30 but i can't find anywhere that actually lists a price on the device. how much was your co-pay for the band?

Share this post


Link to post
Share on other sites

I have Federal BCBS and my surgery was about $21,000. They paid all but about $3000. I am so fortunate that insurance covered this as so many carriers don't.

Share this post


Link to post
Share on other sites

I have Anthem BC and they pay 80%, my 20% is almost $3,000 and does NOT include the anesthesiologist. If you have a surgeon already, ask them where they have the procedure done. Call the surgical center or hospital and speak to the business office, they can tell you how much you will be paying based on the type of insurance you have. Keep in mind or ASK about anesthesia. I did not ask and assumed it was included. I was wrong. I will be paying 20% of that as well and they run $1500 an hour. Good Luck!

Share this post


Link to post
Share on other sites

I have Anthem BC and they pay 80%, my 20% is almost $3,000 and does NOT include the anesthesiologist. If you have a surgeon already, ask them where they have the procedure done. Call the surgical center or hospital and speak to the business office, they can tell you how much you will be paying based on the type of insurance you have. Keep in mind or ASK about anesthesia. I did not ask and assumed it was included. I was wrong. I will be paying 20% of that as well and they run $1500 an hour. Good Luck!

Mine covers the whole surgery, i just pay 30% of the band device, not the whole surgery. Was curious if anyone knew the cost of only the band.

Share this post


Link to post
Share on other sites

i'm dying to know what my copay will be for the band device. i have to pay %30 but i can't find anywhere that actually lists a price on the device. how much was your co-pay for the band?

i saw something some where $2,200 for the band im curious as we i've met the max for co pays as well ...

Share this post


Link to post
Share on other sites

Which FEP BCBS plan do you have? Basic or Standard?

Share this post


Link to post
Share on other sites

i have basic i called care mgnt they said due my reaching my out of pocket max my co pays would be 0 for everything

Share this post


Link to post
Share on other sites

i have basic i called care mgnt they said due my reaching my out of pocket max my co pays would be 0 for everything

Is that not $5000? You must have had other stuff done. I am about $715. but even so I think I pray it wont be but a few hundred.. (pray) I said. so when are you getting done and this is with FEPBLU?

Share this post


Link to post
Share on other sites

Is that not $5000? You must have had other stuff done. I am about $715. but even so I think I pray it wont be but a few hundred.. (pray) I said. so when are you getting done and this is with FEPBLU?

We hit our $5k in May. Both of my kids were very sick this year and hosptalized and I am on a lot of expensive medication that I hope to get rid of with the surgery. It doesn't take long. This is one reason I am so anxious to get the surgery this year.

Melinda

Share this post


Link to post
Share on other sites

If you can have it done in-patient fed bcbs covers more that way since your not at your cap yet out patient you will be responsilbe for 30% of the band it self which can be upwards of $2000 on our end 70/30 split which i believe is the most expensive part of the surgery i read the benfits brochure 20x's lol just to be sure and i haveing my pre surgery appt tommorw afternoon wed is my pre admit with hospital and the following tues the 11th im schduled for surgery i have a child who has stuff done that chews up my out of pocket co pays pretty quickly

Is that not $5000? You must have had other stuff done. I am about $715. but even so I think I pray it wont be but a few hundred.. (pray) I said. so when are you getting done and this is with FEPBLU?

Share this post


Link to post
Share on other sites

If you can have it done in-patient fed bcbs covers more that way since your not at your cap yet out patient you will be responsilbe for 30% of the band it self which can be upwards of $2000 on our end 70/30 split which i believe is the most expensive part of the surgery i read the benfits brochure 20x's lol just to be sure and i haveing my pre surgery appt tommorw afternoon wed is my pre admit with hospital and the following tues the 11th im schduled for surgery i have a child who has stuff done that chews up my out of pocket co pays pretty quickly

Yea I guess with kids -it will do it-- it is just me so, I think the MAX- should be different than a family! Anyhow tomorrw is my last visit-- and we shall see where we go from there,, trying NOT be anxious.

Share this post


Link to post
Share on other sites

I also think each state is different in prices, I hear plces like SC is much cheaper than say NY, somehow it is all involved with the hospital, as they NEVER just say the band is $$$. Just like mechanics lol, base price plus markup..

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        Thank you ❤️

      3. Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×