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

Out of pocket costs?



Recommended Posts

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    ×