kimkai75 59 Posted February 10, 2013 I been in my pre-op stage for 3.5 months because my insurance requires bariatric patients to take a 12 week course called Options. We met once every other week total of 6 meetings. This class teaches how to eat pre and post, pychological,social, physiological and emotional changes and ways to cope. Medications and vitimans take and avoid. Dealing with family and friends. Teaches you what type of eater you are with daily food logs. We talk about depression, body type everything from A-Z to me surgery a success. We also did our labs throughout the course (no co-pay) and this Tue I will be going for my physical, ekg and x-rays with no co-pay....Kaiser supports bariatric surgery 100%. With this being said with Kaiser you don't pay a penny out of pocket. Share this post Link to post Share on other sites
Kellypenrose76 16 Posted February 10, 2013 Kimkai I have Kaiser too make sure you don't have a copay or coinsurance because then you will have to pay that prior to surgery I ended up paying my $400 deductible and another $638 for my 10% coinsurance. Which I wasn't aware of until two weeks prior to my surgery.... Share this post Link to post Share on other sites
T'snewstart 251 Posted February 10, 2013 Kimkai I have Kaiser too make sure you don't have a copay or coinsurance because then you will have to pay that prior to surgery I ended up paying my $400 deductible and another $638 for my 10% coinsurance. Which I wasn't aware of until two weeks prior to my surgery.... Hi I had my surgery through Kaiser as well. I believe it depends on the particular coverage you have. In our options classes they told us to call membership services before the surgery to find out what coverage you have. One man in the class had a $1,500.00 co-pay. My co-pay was $200.00. Not bad to 3 days and 2 nights in the hospital. Best wishes for your surgery Kimkai. Share this post Link to post Share on other sites
soprofound 3 Posted February 10, 2013 wow this is interesting. a friend of mine that i work with has kaiser and they wont cover it for her. Share this post Link to post Share on other sites
kimkai75 59 Posted February 10, 2013 Hi I had my surgery through Kaiser as well. I believe it depends on the particular coverage you have. In our options classes they told us to call membership services before the surgery to find out what coverage you have. One man in the class had a 1' date='500.00 co-pay. My co-pay was 200.00. Not bad to 3 days and 2 nights in the hospital. Best wishes for your surgery Kimkai.[/quote'] Ok thanks that's good to know. I don't want to mislead people. I have no co-pay however 200 is close to nothing and a blessing as well. Thanks Share this post Link to post Share on other sites
ISleevedIt 380 Posted February 10, 2013 I have kaiser and I only have a $5 copay for surgery. It's base on what your company pays/negotiates for. I'm very happy with kaiser. The 6 month process was long but I'm through that phase now. Share this post Link to post Share on other sites
kimkai75 59 Posted February 10, 2013 wow this is interesting. a friend of mine that i work with has kaiser and they wont cover it for her. Sorry to hear that...i faild to mention it's based on what type of coverage you have with Kaiser. You also have to have a bmi of 40 or more ......or some type of comorbidity with a bmi of less than 40. Hope things work out for your friend. Share this post Link to post Share on other sites
soprofound 3 Posted February 10, 2013 Sorry to hear that...i faild to mention it's based on what type of coverage you have with Kaiser. You also have to have a bmi of 40 or more ......or some type of comorbidity with a bmi of less than 40. Hope things work out for your friend. i know her bmi is waaayyy over 40. im surprised that kaiser doesn't cover it because what i have learned is it depends on your employer and we also have aetna and united healthcare available and those plans cover it. i wonder why our employer elected not to have it covered with kaiser. hmmm. i did tell her to fight it because she has a host of obesity related issues and has high bmi so i dont see why not. Share this post Link to post Share on other sites
kimkai75 59 Posted February 10, 2013 i know her bmi is waaayyy over 40. im surprised that kaiser doesn't cover it because what i have learned is it depends on your employer and we also have aetna and united healthcare available and those plans cover it. i wonder why our employer elected not to have it covered with kaiser. hmmm. i did tell her to fight it because she has a host of obesity related issues and has high bmi so i dont see why not. That's a hard one....maybe time to change coverage during open enrollment. Share this post Link to post Share on other sites
SeriouslyChange 319 Posted February 10, 2013 The copay depends on your plan. Pre op my bmi was over 50 and I have sleep apnea. I paid 100 for surgery. Then again, I didn't have to do Options. Just like other insurance, some plans cover Bariatric surgery, some do not. Share this post Link to post Share on other sites