Sooooo confused!

amaydaisy
on 7/9/09 1:20 pm - Redding, CA
Ok. So I have Blue Shield of California as my primary insurance and Medi Cal as my secondary.
After trying to figure out the scoop on how much the surgery itself is going to cost me (approximately), I'm even more confused than when I started! Here is some info I found from a surgeon site regarding the DS for example:

Payment for Surgery

Duodenal Switch:

procedure is approved by your insurance,

surgery. The total professional fee for surgeon and assistant surgeon is

Whatever amount your insurance company pays in excess of the remaining $4,200.00 will

be reimbursed to you after the surgery. If we receive less than $4,200.00 from your

insurance company, you will be billed and are responsible for paying the balance. When

insurance payment is not available and you are a

full



So can someone tell me that even if I have 2 insurance companies that will most likely cover all the cost of the surgery, I STILL have to come up with $8k+ to pay the surgeon to even get it done. And then they'll pay me back? Yikes. If that's the case, I believe I'm up poo creek with no paddle.  :o(
~Adrienne
We are not contracted with your insurance company. If your$8,400.00 must be paid prior to scheduling$12,600.00.self-paying or Medicare patient, the$12,600.00 fee is due at the time of scheduling.
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