Are "fills" paid out of pocket?

[lilbit08 0]

Are fills paid out of pocket? If you have insurance does that normally cover the fills if it covered ur procedure? I don't understand the whole fill thing. Also, how many fills do u have to get?:thumbup:

[Jodi_620 37]

It depends. Some doctors offer a year of free fills (mine didn't). I think that in most cases if the surgery is covered then the fills probably are too. My insurance covered the surgery 80% and they cover the fills 100%.

[luluc 6]

i am self pay. part of the package included 10 free fills in the first yr - after that they are $100.

i just found out that even though my insurance denied me, they will cover my fill price - minus my $10 copay....nice of them, after i put up the coin for the surgery & hubbys :thumbup:

[smsmithart 4]

O I wish my ins covered anything...I pay 100 for fills

[waikiki 0]

My surgery was covered at 100% as an outpatient procedure so that is what I opted for. I was able to get free fills but the length of time between them is what you have to watch for. The first fill could be within 30 days of the surgery but the next fill had to be no more than 90 days from the surgery date.. I then had to get some taken out and that was also covered so if that ever happens you might check before you panic, but it was covered for me with BCBS. Each insurance is different as each policy within the insurance company is different. The best thing to do is get your insurance card out and call the Customer service number on the back and ask them.

You may also want to have the Dr. office call and verify using the codes they have to bill with..

[crzytchr 3]

I don't know how much my fills cost, because I haven't had to pay anything yet. I think they are included in the cost of the surgery for a year.

[Losing 2 0]

I was self-pay; My fills are covered for the first 90 days and $150 thereafter. My doc is 3 1/2 hrs away... so, I'm riding the 3 1/2 hr trip for my first f/u and hopefully fill on this Wednesday. After this, I'll find a local place and pay the price.

[lonestar5212 0]

I have Aetna. They paid for my surgery and all visits to my surgeon, but they won't pay for my fills. I spend $150 everytime I get a fill using fluoro.

[Jodi_620 37]

I have Aetna. They paid for my surgery and all visits to my surgeon, but they won't pay for my fills. I spend $150 everytime I get a fill using fluoro.

Now THIS is the scenario that makes the least sense to me. You would think that if they pay all that money for the surgery they would want to cover fills to make sure that the patient loses weight or all the money spent is wasted.

[short1 2]

I am very lucky, my insurance pays $187 of the $200 fill charge leaving me with only $13. It depends on every individual on how many fills it will take. Good luck!

[lonestar5212 0]

It is stupid, but I have been told by Aetna that they believe the fills should be included in the total cost for surgery, which they have paid. The surgeons believe the fills should be charged for separately after the surgery, so here I am in the middle until they come to some kind of agreement down the road. If I don't get it done under fluoro I can get it covered as an office visit at some places. HOWEVER, my port is tilted, has been since they first looked at it after surgery, and they have a hard time even with fluoro getting it right. It always takes some real guidance with lots of specific direction for them to get it, so there is no way someone would be able to get it without seeing it without stabbing me a hundred times. Time before last, I had to be poked 3 times, and that is with the visual aid of fluoro. I will just keep paying and enjoying my band. I feel so blessed that they paid for the surgery, I guess I should just shut up.

[*slim* 2]

My insurance (BCBSIL) pays all but the copay amount for my fills.