Cost of surgery Co-pay at hospital?

Emeraldcity02
on 7/1/15 6:24 am

How much did you have to pay the day of surgery? It is the same copay as at my doctors office? I'm scheduled for July 7th and for some reason I'm scared they're gonna want $10,000 or something crazy. I have CIGNA. Thank you everyone!

alouisa63
on 7/1/15 6:27 am - Farmington Hills, MI
VSG on 07/30/15

my insurance co pays are 300/1500 and I've met the $300 and am about $500 into the $1500 so if my surgery were tomorrow they want the remaining $1000 before the surgery.  I would call the insurance company to double check (I called mine three times!)

Gwen M.
on 7/1/15 6:32 am
VSG on 03/13/14

You need to call your insurance company and ask. We don't know your policy. 

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

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FluffyTX
on 7/1/15 1:57 pm
Tracy D.
on 7/1/15 1:44 pm, edited 6/30/15 11:35 pm - Papillion, NE
VSG on 05/24/13

Most health plans don't have a "co-pay" for surgery or hospitalizations.  I know some hospitals will figure out your share-of-cost ahead of time (includes deductible and co-insurance) and will require you to either pay or make payment arrangements ahead of time.  

My hospital submitted everything to insurance after the procedure and then insurance came back with what I owed as my share-of-cost.  I ended up having to pay $1,500 out of pocket and was able to use my medical flex spending dollars to cover that.  

Call your insurance company to get the exact amount of deductible and co-insurance that still needs to be met for the year.  Then call the financial/billing office of the hospital and ask about their requirements.  There's no reason to stress over this...you can get all the info you need today with two phone calls.  

 Tracy  5'3"     HW: 235  SW: 218  CW: 132    M1: -22  M2: -13  M3: -12  M4: -9  M5: -8   M6: -10   M7: -4

 Goal reached in 7 months and 1 week

 Lower Body Lift w/Dr. Barnthouse 7-8-15

   

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

Emeraldcity02
on 7/1/15 7:00 am

Ok, I just called the insurance company and they said I have a $1,000 deductible and that the hospital may ask for that upfront. *whew* that's like couch cushion change to me compared to the silly nightmares I've been having. Are they going to send me a bill or do I pay upfront?

Tracy D.
on 7/1/15 7:04 am - Papillion, NE
VSG on 05/24/13

Most major hospitals will not ask for the deductible up front.  They will bill to insurance first and then you'll get a bill afterward.  However, "surgical centers" and other private acute care facilities will ask for the $$ up front.  Call their financial/billing department and ask -- they'll be happy to tell you how it works.  

 Tracy  5'3"     HW: 235  SW: 218  CW: 132    M1: -22  M2: -13  M3: -12  M4: -9  M5: -8   M6: -10   M7: -4

 Goal reached in 7 months and 1 week

 Lower Body Lift w/Dr. Barnthouse 7-8-15

   

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

Emeraldcity02
on 7/1/15 7:42 am

I'm going to ask at today's appointment and I'm going to ask the hospital just to be sure. Thank you!

Laura in Texas
on 7/1/15 9:50 am

My daughter has had many surgeries. It is a major hospital always asks for our portion before surgery. They call to tell me what the amount is and when I need to come in and pay. Then I always owe a balance after the surgery that they bill me for (I have a $1000 deductible and 20% of the balance after that).

Laura in Texas

53 years old; 5'7" tall; HW: 339 (BMI=53); GW: 140 CW: 170 (BMI=27)

RNY: 09-17-08 Dr. Garth Davis

brachioplasty: 12-18-09 Dr. Wainwright; lbl/bl: 06-28-11 Dr. LoMonaco

"May your choices reflect your hopes and not your fears."

Cicerogirl, The PhD
Version

on 7/1/15 9:25 am - OH

It depends on the hospital. When I had my knee replacement surgery, my hospital required my $1000 (the rest of the amount remaining on my yearly out of pocket max) the morning that I checking in for surgery.  I have used that hospital MANY times for surgery and that was the first time they had done it that way.

Lora

14 years out; 190 pounds lost, 165 pound loss maintained

You don't drown by falling in the water. You drown by staying there.

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