Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Weird insurance question!



Recommended Posts

Unless you really have some bizarre plan it should be billed afterwards as normal. My surgery was 1/25 and I'm just now starting to get the rest of the bills in.

Share this post


Link to post
Share on other sites

I think it depends, honestly. My doctor's office required you to meet your deductible before surgery. If you hadn't met it by your final pre-surgery appointment, you had to pay the rest of it that day (they gave you the number beforehand, so it wasn't a huge shock or anything).

Share this post


Link to post
Share on other sites

13 hours ago, kaysc said:

I think it depends, honestly. My doctor's office required you to meet your deductible before surgery. If you hadn't met it by your final pre-surgery appointment, you had to pay the rest of it that day (they gave you the number beforehand, so it wasn't a huge shock or anything).

Yep. My deductible has to be paid on the day of surgery.

Share this post


Link to post
Share on other sites

I paid mine the day of surgery as well.



Share this post


Link to post
Share on other sites

I had to pay before. They called me up for a credit card number and it had to go through before I could go into surgery.



Share this post


Link to post
Share on other sites

They just told me this morning that its billed to insurance and then ill get a bill. Im nervous to believe them tho lol. I think ill make sure I have the deductible amount ready just in case! Thank u!! Im sooo excited and nervous! I just want to know if im approved or not!! Lol



Share this post


Link to post
Share on other sites

I have a $3100 deductible. There's no way I can come up with that by the end of May and still pay my bills so I'm hoping it will be billed after and I can make payments. I have an HSA but still being reimburse from last year's medical bills.



Share this post


Link to post
Share on other sites

I think it is different at every office. Just ask. My office asks for no more than $1,000.00 one week before surgery if you haven't met your deductible.

I have received other bills from the cardiologist, surgeon and I have to pay out-of-pocket for my month long pre-op diet that is mandatory. Hidden fees they don't talk about before you sign up of course. It all ends up being expensive but its so worth it!

Share this post


Link to post
Share on other sites

Please keep us posted on how this worked out for you. I also have a high dollar deductible plan so am curious as to what happens.

In the past, my strategy has been to advise the physician or facility that I will pay once I or they receive the statement back from the insurance as to what I actually owe. I also found out from a call to the insurance company that when they contract with the providers to be part of their provider network, they are not supposed to bill the patients until they get their EOB back from them.

Sometimes works, sometimes doesn't. But haven't worried too much since I am usually dealing with small amounts vs something major like WLS.

In your case, perhaps trying to save a portion of your deductible to have ready at time of surgery as a sign of good faith would help them to then allow you to make payments for the rest.

Hope it works out for you!

Share this post


Link to post
Share on other sites

My deductible had to be met before my surgery. I waited until the end of the year (literally Dec 29th) so that my deductible would be met and insurance covered my surgery 100%.


Share this post


Link to post
Share on other sites

I had to pay before, even though I told/showed them that other claims were pending that would wipe it out. It took me 3 months to get $300 back, after being jerked around with billing errors, unreturned calls, excuses, and only partial refunds, not in the form of original payment. Jerks.


Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×