mgpino619 7 Posted December 10, 2015 (edited) How much did you pay out of pocket? I have blue cross and my plan only covers 80% after my 1500 deductible. Just curious what others paid. I wont get a solid cost quote for a couple weeks. Also considering self pay in Mex. Edited December 10, 2015 by mgpino619 Share this post Link to post Share on other sites
Sharon1964 2,530 Posted December 10, 2015 What's your max out of pocket? Share this post Link to post Share on other sites
mgpino619 7 Posted December 10, 2015 I will double check but I'm certain it is $3500. Share this post Link to post Share on other sites
RickM 1,750 Posted December 10, 2015 By the time Aetna got around to paying the surgeons fees, we had hit the max out of pocket level, so they covered that 100% even though he was out of network. The hospital was in network so that was 80%, so maybe that was $1000 or less (don't really remember now.) That's something to consider if scheduling works toward later in the year. If insurance is covering it, even if is winds up being a bit more than some of the cheaper MX docs, it's usually worth the extra cost if you can possibly afford it as the aftercare and post op support programs that are usually included can add a lot of value to the process. Share this post Link to post Share on other sites
2goldengirl 2,076 Posted December 10, 2015 Can't help you, I'm covered $100%, except $10 office visit copays. Share this post Link to post Share on other sites
Amy Wolfe 49 Posted December 10, 2015 ive met my out of pocket max. so will be covered at 100 percent. even co pays i will not have to pay. i have UHC. surgery 12/14/15 Share this post Link to post Share on other sites
Amelia Bedelia 39 Posted December 10, 2015 My copay for hospital admissions is $250, including all the surgery related costs. I feel very lucky. Share this post Link to post Share on other sites
Amy Wolfe 49 Posted December 11, 2015 Me too amelia but uhc told me since ive meet my oop for the year i will not even have to pay that. Share this post Link to post Share on other sites
bigbit 99 Posted December 11, 2015 $1750, which was the balance of my $2500 out of pocket. Share this post Link to post Share on other sites
mgpino619 7 Posted December 11, 2015 still good tho! Share this post Link to post Share on other sites
Sharon1964 2,530 Posted December 12, 2015 I will double check but I'm certain it is $3500. Then $3500 is going to be your cost. My max out of pocket is $6650. Between all the doctor visits and testing I had this year, by the time I got to surgery in August, I gave the hospital $3,000 on admission, and the balance due was less than $100, because I had met my out of pocket max. Share this post Link to post Share on other sites