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

Another insurance question



Recommended Posts

So I have UHC and my work pays 100% for weight loss surgery.

My question is, does that cover my phyce evaluation, labs, EKG, nutritional visits, etc that they need before surgery?

Or will I have to pay for those?

Thanks guys and happy Losing!!![emoji4]

Sent from my SAMSUNG-SM-G930A using BariatricPal mobile app

Share this post


Link to post
Share on other sites

Odds are they will cover most of that but you will have copays. E.g. if a specialist visit costs $30 under your plan, that's what you'll pay to see your surgeon, psychologist and/or nutritionist. If lab work has a co-pay of $10, that's what you'll pay. If you have a deductible that needs to be met, you will have to pay that part before they start to pay. So if you have a $250 deductible, you will have to pay that amount out of pocket for various services before they will start paying. Call the number on the back of your card and ask someone at your carrier what you will be responsbile for. Every plan is different.

Share this post


Link to post
Share on other sites

Most likely, you will have co-pays (Pysc Eval & Nutritionist). However, these services (Labs & EKG) are usually covered by your insurance.

Unless you have a deductible that you need to meet before they cover the whole amount. Mines is $250 deductible (out of pocket) with 90% coverage. That means I had to pay $250 out of pocket prior to them approving me for surgery. That, however, was met by previous Doctor visits.

Edited by Sleeve1stFitNext

Share this post


Link to post
Share on other sites

I am covered 100% with care first but I just have to pay copays 20 for my surgeon and I had 10 for the psych eval I think I will have 200 for the hospital and 200 for anesthesia so all in all I will be out like 500 total

Sent from my SM-T380 using BariatricPal mobile app

Share this post


Link to post
Share on other sites

I do have $750 deductible. So my copays will go towards this? I am confused.

Share this post


Link to post
Share on other sites

Oh ok. I see now. So my co pays will go towards my deductable?

Share this post


Link to post
Share on other sites

On 3/24/2018 at 10:52 AM, sammi123 said:

I do have $750 deductible. So my copays will go towards this? I am confused.

No, copays do not apply to the deductible. They will apply to an out of pocket maximum if your plan has one. You'll have to check your plan details to be sure.

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

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • 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!

  • 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

    ×