lillibelle 3 Posted January 17, 2019 What's the average out of pocket expenses. Got HBF health cover Share this post Link to post Share on other sites
Hop_Scotch 1,632 Posted January 17, 2019 Generally depends on the after support program, plus how much extra above the medicare scheduled fee the surgeon charges. Have you confirmed that your particularly insurance covers WLS, been a lot of changes as to what is being covered in the various levels of cover lately. Share this post Link to post Share on other sites
sandee123 13 Posted January 17, 2019 I don't know if there is an "average" out of pocket as the % coverage varies with each policy. I would first make sure you can qualify with your insurance and that your provider is covered by your insurance. Additionally, you could end up with multiple bills not only for for pre and post appts but different things directly associated with the surgery including but not limited to the hospital, the surgeon, the anesthesiologist, the lab,etc. If you need it, I would encourage you to also enquire with your hospital/clinic regarding financial assistance (I was able to find information online). I qualified for assistance- between insurance and assistance, all care directly associated with the clinic and hospital was covered- i had to pay a copay for the anesthesiologist and biopsy of the stomach that was removed (less than $300)- my nutrition and surgeon appts pre and post op as well as labs were also covered. Share this post Link to post Share on other sites
GradyCat 3,695 Posted January 17, 2019 I would think it would vary widely depending on high high your deductible is, what is your maximum out of pocket expense limit under your plan, etc. For me, last month, the surgeon and hospital bills totaled around $56,000 billed, of which the insurance paid at their negotiated rate $23,000 and my portion out of pocket was only $600 1 ProudGrammy reacted to this Share this post Link to post Share on other sites
Hrsnjs 267 Posted January 17, 2019 My procedure totaled about $24,500 as billed to insurance. My portion was $2,975. I spent another $2,200 on the diet appointments, nutritionist, all the labs, psych eval, etc. So total just over 5k out of pocket, but that was over an almost two year period. Sent from my Pixel 3 using BariatricPal mobile app Share this post Link to post Share on other sites
Ed_NW 684 Posted January 17, 2019 My total bill for the surgery was $92,437.19 and my out of pocket was $750.00 Share this post Link to post Share on other sites
