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

Insurance Changed Without Notice...ughhh!



Recommended Posts

So we have Kaiser through my hubby and he received a letter just last week stating they were going changing the deductible and the co-pay amount. We went from $10 co-pay to $35, and went from $0 on the hospital pay to $500. So now i have to pay for the Sleeve, I know it's less then what others have paid but dang $500 bucks when I was anticipating zero. The kicker is that all this went into effect on July 1st, and we didn't know until we received the letter last week.

Oh well.... :wacko:

Share this post


Link to post
Share on other sites

So we have Kaiser through my hubby and he received a letter just last week stating they were going changing the deductible and the co-pay amount. We went from 10 co-pay to 35' date=' and went from 0 on the hospital pay to 500. So now i have to pay for the Sleeve, I know it's less then what others have paid but dang 500 bucks when I was anticipating zero. The kicker is that all this went into effect on July 1st, and we didn't know until we received the letter last week.

Oh well.... :wacko:[/quote']

I trade you.... Mine was $5500 plus airfare.

Share this post


Link to post
Share on other sites

I trade you.... Mine was 5500 plus airfare.

Same here! Insurance companies suck, but at least yours will pay for it

Share this post


Link to post
Share on other sites

I understand your disappointment thinking it would not cost anything, however that's still awesome. I had to pay $14K, my insurance does not pay anything

Share this post


Link to post
Share on other sites

For the surgery itself I will have to pay about 500 dollars out of pocket. 150 for the surgeon and 150 a day for inpatient stay of 2 days...plus medication co pays. I also had to pay for 3 Nut visits at 330, pre-op Optifast at 220.00. Still i feel really lucky, that's all I have to pay. And I have federal employee insurance!

Share this post


Link to post
Share on other sites

For the surgery itself I will have to pay about 500 dollars out of pocket. 150 for the surgeon and 150 a day for inpatient stay of 2 days...plus medication co pays. I also had to pay for 3 Nut visits at 330' date=' pre-op Optifast at 220.00. Still i feel really lucky, that's all I have to pay. And I have federal employee insurance![/quote']

You couldnt get Indian Health services to pick up the rest?

Share this post


Link to post
Share on other sites

You couldnt get Indian Health services to pick up the rest?

Not all Indians have this benefit or have casino dividends. I doubt they would anyway.

Share this post


Link to post
Share on other sites

That does stink but it's not too bad (of course, I'm not the one having to come up with it at the last minute!) I had a deductible of 2k with a maximum OOP of 4k. I've meet that this year so my sleeve should be "free" but that's how much I'd have to pay if I didn't already have some procedures this year.

Share this post


Link to post
Share on other sites

Ndnrn, we dont have casinos, as we are in Nv, nor is ihs affiliated with per capita pmts. I know of some ppl who did get it paid, it might be worth your time to see if they will. If not, you're no worse off. Good luck!

Share this post


Link to post
Share on other sites

Ndnrn' date=' we dont have casinos, as we are in Nv, nor is ihs affiliated with per capita pmts. I know of some ppl who did get it paid, it might be worth your time to see if they will. If not, you're no worse off. Good luck![/quote']

Thanks Cissiesue. I am working on the ipad ap while on vacation, so I don"t have access to full profiles. Didn' t realize you were a Native Sister. No per capita, BIA or casino money here, either. But like I said, happy to work for the feds and have the benefits I do. Wouln't be able to do it if I had to shell out 5000 to 14000 bucks. Keeping my fingers crossed I get this H Pylori out of my stomach, finish my 2 more nut visits and get approved for surgery sometime late sept, early Oct.

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

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • 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

    ×