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

Recommended Posts

What's the average out of pocket expenses. Got HBF health cover

Share this post


Link to post
Share on other sites

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

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

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

Share this post


Link to post
Share on other sites

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

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

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

    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 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

    ×