How much did you have to pay OOP?

Jeanine J.
on 10/20/10 7:28 am
How much did you have to pay out of pocket for your surgery? I have a flex spending account that I can start and I want to use it for my co-pays and such just want to know what the average is. So that I can make sure I have enough!

What's worth the PRIZE is ALWAYS worth the FIGHT!                
Debra Sirois
on 10/20/10 10:48 am - Norridgewock, ME
Depending on your insurance you may need between $1-2 thousand oop money. Most of the presurgery stuff isn't covered by insurance so its 100-200 oop each time. You really need to check with your insurance and get a hard %# of what they will cover and go from there figure on total costs of about $31,000.
Debra Sirois, Norridgewock Maine
        
tiggrpt
on 10/20/10 12:06 pm - Sabattus, ME
I am VERY lucky and paid NOTHING oop!   It REALLY varies from insurance to insurance!  Good luck!

Ruth                  "It's never to late to LIVE HAPPILY EVER AFTER!"

   
micbrook
on 10/21/10 2:12 am - Clifton, ME
RNY on 11/21/07 with
my bcbs   paid  80 percent  or 850 oop  so  it was about  850   I had a few co pays for  dietician but that was 25 a visit.  but that included  sleep study and   psych eval.   so i didnt thingk it was too bad  but htey are right it is  different for ever y insurance

take care


Patty
 
 

  
 
 
 
 
 
 
cbsweet33
on 10/25/10 2:17 am
I found I needed:

enough for my deductible 
for every dr office visit co-pay (specialist rate)
co-pays on medicines that you will need after surgery
then the things that you can't predict-like if the labs/x-ray radiologists that are used are participating or out-of-network
If your surgery is going to be in 2011 you would have follow-up visits that can help use up your FSA-but be careful-don't put too much into it-you will loose it, if you don't use it

I have not received all of my explanations of benefits (EOB) to date-so I do not have a grand total yet

Cindy

High/DOS/Current/Goal
260 / 238 / 213 / 130

I'm on my way
mainegal
on 10/27/10 9:09 am - Thomaston, ME
Everyone is right. Check with your insurance company. They all differ.  My BCBS plan paid everything except the $15 copay to see Dr. Toder pre-op and $200 deductible applied to my sleep study pre-op. I never paid anything for the dietician visits.
Post op check at 2 weeks was part of the "global billing" for surgery, no co-pay.
6 week, 6 month, 12 month visits carried the co-pay.

With your  FSA,  check and see if you can get your vitamins deemed "medically necessary" by your surgeon or PCP. If either will sign the Medically Necessary from you can put those purchases through your FSA.


Emily     SW 320, Pre Surg 271.3, Lowest 189.8 Current 212.9 GW -155-188
Continuing the weight loss journey 10 pound goals at a time.  June 2011

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