GigiLane 19 Posted April 4, 2016 Hi all- I currently have a UHC deductible of 3250, but my open enrollment is July 1. My other option is a middle deductible for 1650. I'm considering changing since I believe it'll be most beneficial. Can anyone share their perspective and offer advise? It'll cost me more monthly, but I'm hoping it'll save me having to come out of pocket for the surgery itself since I know that's super expensive. I'm in Florida and I looked at the average cost of 16k. Insurance will cover 90% once ded is met. I'll probably still have to finance the procedure. Hopefully the dr and or hospital take care credit Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
kmorri 1,689 Posted April 4, 2016 What I would suggest is adding up the difference in your monthly premium payments, deductible and out of pocket maximum..... You're out of pocket maximum plus your deductible will be the "most" you will pay....which ever plan has you paying less is the one I would go with.....but I would certainly take into account the difference in the monthly premium. Good luck! Share this post Link to post Share on other sites
SleeveSoon 191 Posted April 4, 2016 I had to make a similar decision (high deductible vs lower deductible plans) when I was considering surgery. I did my best to estimate the costs of pre-op testing (endoscopy, stress test, sleep study, etc) along with the cost of the surgery/hospital, and follow up doctors visits. Using those estimated medical costs (assuming all services would be in-network) I calculated how much I would be expected to pay in total for the year ahead under both plans offered. For me, the high deductible plan was the best option primarily due to the less expensive insurance premiums and some extra money that the company contributed to my HSA (healthcare spending account). Share this post Link to post Share on other sites
CBT 450 Posted April 4, 2016 I'm not sure if you are just looking at the surgery deduct and coverage.... Also I think, haven't researched, but from these boards, it appears that secondary procedures and increase in visits are common in the first year post-op (gallbladders, hernia repairs, endoscopies) and more primary care visits. I would also consider any comorbidities like diabetes and heart disease that may need increased follow up... Share this post Link to post Share on other sites