Anyone with Priority Health? & bmi over 55?

I have Priority Health and at the seminar I went to today, they mentioned a $1000 patient responsibility.  They seemed to think this was regardless of what your deductible/coinsurance is and is in fact in addition to that.  Anyone know about that???  I am considering using MMPC.   Also anyone with BMI over 55?  What was the preauth process with PH like?? 

Yeah, I have Priority, and my patient responsibility will be $1,000 (I had to pay it to get my surgery date.) It's 50% of the surgeon fees, not to exceed $1,000. Everything after the $1,000 is covered. (Aside from the office visit copays and what not.) I'm not sure how that works if you have secondary insurance? Oh, and in addition, I also paid a $250 program fee.  My BMI is over 60, and Priority waived the 6-month medically supervised diet requirement for me. They approved me very quickly and my surgery is next month!  I hope that helps!

my husband used MMPC.. you HAVE to buy their food.. it can get quite expensive and ins. does NOT pay for it..      Pam

I have PH also and am going through MMPC.  $1000 like was mentioned above and the average food product price is $365 depending on what you get.  I have a flex plan that will cover the $1000 but I will have to pay for the food.  I figure it's a small price compared to what others have to pay, especially those whose ins. does not cover any of it.  It seems PH is one of the better ones. I have been extremely happy so far.

Yep that is right... I paid $1365 for  dr fees and food.  That is ALL I had to pay and I am over 5 months out.  I did not think PH was going to pick all of it up, but they have.. :O).  Makes me feel awesome!

Did you have to pay anything for the hospital charges?   That thought came to me this morning....