sleevemeup 41 Posted January 21, 2013 So... Just wondering what some of you have paid or are about to pay out of pocket. Any ideas of the negotiated rate with your insurance company? I have 50% coverage for everything, so from what I have seen I could be out of pocket a lot of $$. I usually have a good negotiated rate from the other surgeries, so I am a little hopeful! But, how much is your health really worth? That is what I keep telling myself! Share this post Link to post Share on other sites
Kat23 47 Posted January 21, 2013 Our out of pocket costs are multiple office visit co-pays for all of our pre-op requirements and we have to pay for the nutrition class. Inpatient services (hospital services) are all covered 100% with a possible separate surgeon fee. Jury is still out on the separate surgeon fee. I've been curious about the contracted fees as well, but haven't come up with anything yet. The same insurance company may have different contracts/converage between different employers. Share this post Link to post Share on other sites
UPRR Wifey 89 Posted January 26, 2013 Wow. That's a lot. I'm covered at 95% after a $150 deductible. The surgery costs $15,500. So I'm looking at around $775 Share this post Link to post Share on other sites
SoccerMomma73 1,867 Posted January 26, 2013 Mine is 70/30. I had to pay my surgeon $700up front pre-op this week, the hospital will be about $2200,But I get to make payments on that (thank goodness!!!) plus anesthesiology :/ I'm a family practice physician assistant for the hospital system that my surgery is going to be at...our insurance kinda sucks!!!! HW 312, pre-op (lap-band) 294, pre-op (RNY) 251, surgery date 2/11/13, goal weight 154, current weight 251 Share this post Link to post Share on other sites
Laverne1908 28 Posted January 26, 2013 My surgery finacial obligation is $3500.00. I feel that it will be worth every penny. Share this post Link to post Share on other sites
Nicole K 352 Posted January 26, 2013 I paid an $80 co-payment for surgery. I pay all co-payments for surgeon and I'm putting in an appeal for the nutritionist not being covered. DOS 12/17/12 Share this post Link to post Share on other sites
IChatman 24 Posted February 1, 2013 My surgery finacial obligation is 3500.00. I feel that it will be worth every penny. Wow! What are they requiring down or do you have to pay all up front Share this post Link to post Share on other sites
SoccerMomma73 1,867 Posted February 1, 2013 I had to pay the entire 700 for the surgeon up front, the hospital will take payments after.... Share this post Link to post Share on other sites
padlrd 183 Posted February 1, 2013 My insurance is Medicare they pay 20% I have to pay hospital $1186 Dr $386 Ass dr $286 all upfront Share this post Link to post Share on other sites
Laverne1908 28 Posted February 1, 2013 Wow! What are they requiring down or do you have to pay all up front This is my total obligation and Yes they want it upfront.. My surgery date is 03/04/2013.. Share this post Link to post Share on other sites
padlrd 183 Posted February 1, 2013 I have to pay at my pre op appointment and when I pre registered at hospital Share this post Link to post Share on other sites
IChatman 24 Posted February 1, 2013 This is my total obligation and Yes they want it upfront.. My surgery date is 03/04/2013.. You're right I believe it will be worth it as well.. I just wish they would have broken it into payments Share this post Link to post Share on other sites
Tammy483 162 Posted February 1, 2013 I paid everything in cash upfront. Where I live, insurance doesn't cover this. I paid almost 10,000 $ Sent from my iPhone using RNYTalk Share this post Link to post Share on other sites
IChatman 24 Posted February 1, 2013 This is my total obligation and Yes they want it upfront.. My surgery date is 03/04/2013.. Hey your surgery date is on my birthday! Congrats. My journey will begin on February 5th that's the day I go to my consultation... I know my insurance covers it because I'm a St. Lukes employee and I also don't have to wait the 6 month time... My concerns are mostly the fact that I haven't reached my deductible or out of pocket Max. So I'm wondering what I will have to pay up front and what they will take payments on... Just gets my nerve going... I dying for the 5th to get here I feel like that will be the date I will know my destiny... I want my life back Share this post Link to post Share on other sites
Laverne1908 28 Posted February 1, 2013 You're right I believe it will be worth it as well.. I just wish they would have broken it into payments IKR!!!! Share this post Link to post Share on other sites