tailor-made 33 Posted March 21, 2016 I just received a call from the surgeon's office with a surgery date of April 18th. She informed me I would receive a call from finance to let me know what I need to pay out of pocket at my pre-op appointment. I hate surprises!!! I know everyone's insurance benefits are different but would love to hear what you had to pay up front. Sent from my SM-G925V using the BariatricPal App Share this post Link to post Share on other sites
Miss Mac 6,262 Posted March 21, 2016 Blue Cross - Blue Shield Federal Employee......start to finish I paid about $150.00.......nothing up-front. Share this post Link to post Share on other sites
sjdtx 13 Posted March 21, 2016 ooof, I'm jealous of Miss Mac on this! I paid $2,860 for surgeon and anesthesiologist. I haven't figured out yet what I owe the hospital. I have BCBS of Oklahoma (PPO) through my employer. Share this post Link to post Share on other sites
LisaLouBop 181 Posted March 21, 2016 30.00 copay per Dr's visit, 40.00 copay per nut visit. Although my monthly insurance premium for the "Un-Affordable" Care Act was 809.00 for that year. I guess for some of us it's pay me now or pay me later. Share this post Link to post Share on other sites
tailor-made 33 Posted March 21, 2016 (edited) I've been paying $50 co-pays with each visit. Just don't know my out of pocket for the surgery (which I'll have to pay during my pre-op visit)and it makes me nervous. Edited March 21, 2016 by tailor-made Share this post Link to post Share on other sites
careya123 260 Posted March 21, 2016 I think mine would have been cheaper in Mexico, compared to my insurance where I pay 20%. My insurance is BCBS Illinois. $900 to the bariatric center $3000ish to the hospital (discounted to $2400 for paying the day of surgery) I think I still have an anesthesiologist bill to come, and I'm not sure about the surgeon's bill. I hope that's part of the $900 I already paid. Ouch! Share this post Link to post Share on other sites
tailor-made 33 Posted March 21, 2016 Wow...I'm really hoping that's no where near what they will tell me. I'm supposed to hear something from them in the next day or two and my stomach is in knots right now. Sent from my SM-G925V using the BariatricPal App Share this post Link to post Share on other sites
reree6898 1,164 Posted March 21, 2016 I had already met my deductible for the year when I had mine so I only had to pay $195 for the psyc eval and one $40 copay. If I had to pay the deductible it would have been another $1500 I think. Share this post Link to post Share on other sites
Ruth1ess 494 Posted March 21, 2016 (edited) 80/20 coverage with $2000 max out of pocket for the year. I'm already up to $1100 this year for the pre-op testing. I would highly suggest that no matter what they tell you at the doctor's office, that you also call your insurance company for a quote. They are liable to stick to what they tell you (the call is recorded) and you don't want surprises. Sent from my Nexus 5X using the BariatricPal App Edited March 21, 2016 by Ruth1ess Share this post Link to post Share on other sites
BigTink2LilTink 723 Posted March 21, 2016 I too have Blue Cross/Blue Shield through my employer, and I think I paid around $400 total out of pocket to cover some of out of pocket expenses. However within the past now 18 months, I've saved over $1k in diabetic medicine/supplies that I no longer need to take anymore. So yeah I would totally pay that $4/500 upfront cost to have the surgery again. Share this post Link to post Share on other sites
karen091866 120 Posted March 22, 2016 We have United Health Care PPO...Spouse works for a large corporation, so our out-of-pocket costs are pretty reasonable, simply based on the number of people covered within our group/plan. My total cost= $600. I couldn't be happier with my choice to have the sleeve...Life-changing in SO many wonderful ways...never 1 second of "buyer's remorse". Share this post Link to post Share on other sites
Kindle 8,667 Posted March 22, 2016 I just received a call from the surgeon's office with a surgery date of April 18th. She informed me I would receive a call from finance to let me know what I need to pay out of pocket at my pre-op appointment. I hate surprises!!! I know everyone's insurance benefits are different but would love to hear what you had to pay up front. Sent from my SM-G925V using the BariatricPal App I would say it's probably whatever is left on your your max OOP. For me that would have been $6000. But despite paying over $4000 in premiums my ins doesn't cover WLS in any way shape or form, so I was self pay in Mexico. A hell of a lot cheaper than Obamacare....I agree with @@LisaLouBop , there's nothing affordable about the ACA. Share this post Link to post Share on other sites
kaitlynm 335 Posted March 22, 2016 I had already met my max out of pocket when I had the surgery so I didn't have to pay any additional amount to the hospital or surgeon for the surgery. I did have to pay $300 for the psych evaluation and another $200 for the nutrition class that insurance did not cover. I also saw a claim to my insurance for $2800 that was denied because the assistant surgeon was not in network. My surgeons office has never asked me to pay that bill, but I'm still kind of worried that it will come up. I will fight that however since I didn't get to choose the assistant and can't believe he would use someone not in my network. My insurance's negotiated rate for the Surgeon was only $1200 and they only paid the hospital $1500 for the operating room and the one night stay. The insurance did make me go to a really bad hospital however. I find it interesting that for less than $3000 they fight this type of surgery so much when I have already saved that amount in not needing prescription drugs. Share this post Link to post Share on other sites
livvsmum 2,369 Posted March 22, 2016 I have highmark bc/bs and had to pay my $1,000 co-insurance before the surgery. I actually ended up getting back about $100 of that because it's $1,000 or 10% and the 10% ended up being less :-) Share this post Link to post Share on other sites
tailor-made 33 Posted March 22, 2016 Well everyone...I got the call today and was literally shaking waiting on that magic number-$1075.20! I must say I'm relieved that's all I have to give them up front especially since some have mentioned paying upwards of $3000-4000. Sent from my SM-G925V using the BariatricPal App Share this post Link to post Share on other sites