Surgeon Fees...and various fees not covered by insurance

[twinkle101 9]

I found a surgeon, however, the facility charges several fees which are not covered by insurance, totaling over $700 on top of the out of pocket I will have to pay for the surgery. Is this common?

[Dar200 285]

It seems to me that happens in any medical treatment I've had. So far, I've only had a $100 fee that had to come straight out of pocket, but I've just begun my process. So far I haven't been told of any other costs that won't be covered other than my co pays. And every insurance is different so it's hard to say. I won't be surprised if I have more.

[thbrown223 214]

I have Aetna. I have a $100 copay day of surgery. My patient coordinator told me that according to my insurance that the most I can pay put of pocket is $500. My surgeon's office will bill me within a month of surgery. I have to pay $350 at my pre op appt, which will cover my 6 months post op appts.

[twinkle101 9]

Thank you both for responding. The bariatric coordinator told me no one's insurance covers the surgeon's fee, I just was not expecting it to be so much. But so far I think they're the best I've found.

[TMG1980TMG 136]

My copy for monthly visits to my surgeon are $50. Not all insurances have coverage for obesity (except surgical treatment) so I know some who pay this part themselves. (The charges for these monthly visits at my surgeon's office are $167)

I paid $200 for the scope ( around $2000).

I have had to pay about 250 to meet my 750 deductible during the process.

On surgery day i have no copay, but I am responsible for 10% (coinsurance) I believe it will be around 2,000 for hospital/ surgeon fees and around 500 for anesthesia. The total charges for gastric bypass are about 31,000 so not to bad. ????????

I am not sure of my max out of pocket so I might not have to pay all of my 10%- I need to get on my plan documents to double check!

Edited September 28, 2015 by TMG1980TMG

[rnytiffany 33]

I think it depends ... I have Aetna and so far I have paid $30 copayment for surgeon consult, $30 copayfor psych evaluation, $250 for NUT, I am not sure how much my copay will be for medical testing. But once insurance approves I will have a $250 deductible.

Edited October 5, 2015 by kirklandt89

[Learningtolive 109]

I'm lucky cause my insurance is through my work which is at the health organization I'm having all this with. My surgeon isn't "with" the organization so I have to pay the in-network fees for him but everything else is covered.

[hollybower 122]

Anyone have experience with anthem health keepers plus?

[Grace2115 27]

I'm responsible for 10% of the surgery cost, and I have to meet my $100 deductible by the day of surgery. I had to pay $150 total to see the psychiatrist and nutritionist. I think you will see that it's different for everyone.