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Question about insurance/out of pocket



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Say mental health today. She said some things need to be paid out of pocket. But when I called insurance they say they cover bariatric surgery 100%.. I'm wondering what's not covered

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It could be any number of things... nutritionist, classes, etc. Are you done with mental health? They might want to do some psych testing that isn't covered by your insurance. You might want to call them back and ask them what they believe you will be paying for.

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My insurance may pay for the actual surgery but I had to pay out of pocket for the nutritionist visits and the psych visit (he didn't take insurance of any kind) and my 5-week Behavioral Skills class. I've also had many co-pays leading up to surgery. All in all I've paid over $1000 out of pocket so far.

But that's my insurance and the things my surgical program required.

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My insurance has covered everything. I just had to pay my deductible and max out of pocket of $2000. My psych visit I just paid a co-pay of $25.

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If this provider isn't covered on your insurance find one that is. You are the one paying the bills don't let your surgeon force you into paying for things you could have covered.

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My hospital program charged a $100.00 fee (not covered by insurance) to join the program. plus I had to pay $60.00 for my nutrition classes.

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My insurance company (BCBS) covers 100% of the expenses but there is a $1,000 deductible. I am also responsible for all co-pays with visits associated with the surgery. If you have a healthcare spending account, it would be a great help!

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With BCBS Federal so far I paid 35 for psychology visit, 35 for surgeon visit, 100 for sleep apnea home study, 200 for surgeon to do EGD, 360 for hospital oupt. For EGD, 280 for the cpap, nothing for dietician, my 2 days in hospital for surgery will be 350.00. I dont remember if I pay surgeon anything for surgery. I guess this is not too bad.

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    • Theweightisover2024🙌💪

      Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
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      1. NickelChip

        I had about 6 months between deciding to do surgery and getting scheduled. I came across the book The Pound of Cure by Dr. Matthew Weiner, a bariatric surgeon in Arizona, and started to implement some of the changes he recommended (and lost 13 lbs in the process without ever feeling deprived). The book is very simple, and the focus is on whole, plant based foods, but within reason. It's not an all or nothing approach, or going vegan or something, but focuses on improvement and aiming for getting it right 80-90% of the time. His suggestions are divided into 12 sections that you can tackle over time, perhaps one per month for a year if a person is just trying to improve nutrition and build good habits. They range from things like cutting out artificial sweetener or eating more beans to eating a pound of vegetables per day. I found it really effective pre-surgery and it's an eating style I will be working to get back to as I am further out from surgery and have more capacity. Small changes you can sustain will do the most for building good habits for life.

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        That sounds awesome. I'll have to check that out thanks!

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