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

Insurance question....



Recommended Posts

I know that all insurances and doctors/hospitals are different, but....

Just found out that I have met my deductible on both my and my husbands health insurance. So, one pays at 80% and the other at 90%!

Any guesses as to what my out of pocket could be? They have already told me no more than $2000 but that was before I met my deductibles.

Share this post


Link to post
Share on other sites

@@shelby77 I guess it depends on your overall bill. I have insurance that paid for everything but 200 dollars. I got the statement from the financial lady in my surgeons office when I paid my 200 and the out of pocket bill for everything would have been 19,500. Thank god for insurance. I don't know if that helps Or not.

Share this post


Link to post
Share on other sites

  • I do liability estimate for patients for a living and 9 times out of 10 if a patient is double covered and they have met their deductibles they end up being covered at 100%

Share this post


Link to post
Share on other sites

Wouldn't that be great!!

Share this post


Link to post
Share on other sites

My out of pocket maximum for the year is 8500.00 and somehow I have met it. I may never have disposable income again!

Share this post


Link to post
Share on other sites

I had my pre-op appointment today, with surgery on Nov 17th. During which someone from the financial department came and gave me an estimated bill for my surgery, $93,568. I'm lucky my insurance is covering all but $218.

Share this post


Link to post
Share on other sites

  • I do liability estimate for patients for a living and 9 times out of 10 if a patient is double covered and they have met their deductibles they end up being covered at 100%

Hi @ORseleeveMom , Can you clarify what a "liability estimate" is? I called someone at the surgery facility (whose number was given from my surgeon's office) and was given a liability estimate. Is that typically the estimate for the total cost that the patient is responsible for? Have you found that there is much variability in the estimates versus actual bills?

Thanks!!

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

    • Alisa_S

      Gearing up for my consult 01/14! Starting to get a little nervous.
      · 0 replies
      1. This update has no replies.
    • Goyafigs

      I had VSG 11.20.24 with Miguel Burch, MD Cedars-Sinai and I am 1 month post-op. 
      · 0 replies
      1. This update has no replies.
    • DaisyChainOz

      🥳 Jan 1 2025 - Day 1 of Pre Op, surgery on the 16th! 😬😅
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A.             Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
      What happened at your first consult? Trying to get an idea of what to expect, or maybe I should say, what NOT to expect.
      · 0 replies
      1. This update has no replies.
    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 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

    ×