Revision Costs?? Double Dipping!!

[4re4me 1]

Hey All,

My insurance Co., Aetna Health Care has approved the cost of removing my band but NOT the sleeve revision. My Dr says he can perform the procedure at the same time. Price will be $8000 for hospital and $1736 for his fee. Total $9736.

I asked about a discount as it seems my insurance company is already paying for hospital, surgeon, anthestiga, etc. They are telling me no because it is two different procedures even though performed in in the same operation. Has anybody else run into this?? I expect to cover the cost difference and I am sure there are some but this really sounds like I am being double dipped.

[mrlddst 0]

Wouldn't you be in the hospital for an extra day. Maybe the $8000 covers the extra hospital day.

[MINI-Me 196]

Hey All,

My insurance Co., Aetna Health Care has approved the cost of removing my band but NOT the sleeve revision. My Dr says he can perform the procedure at the same time. Price will be $8000 for hospital and $1736 for his fee. Total $9736.

I asked about a discount as it seems my insurance company is already paying for hospital, surgeon, anthestiga, etc. They are telling me no because it is two different procedures even though performed in in the same operation. Has anybody else run into this?? I expect to cover the cost difference and I am sure there are some but this really sounds like I am being double dipped.

The best way to understand the breakdown is to ask for an itemized estimatation of services. That will show you what is being paid for each procedure - including OR time and room charges.