Self pay and insurance

I just wanted to throw a thought out there with my personal experience on  2/13/13

 

So I am self pay however I will only be paying for the actual procedure for the surgeons' fee which is $7,000.00. After a big issue of me not having $16,100.00 to cover the facility fee (hospital). I decided to call the insurance company... They won't cover the sleeve but they will cover the hospital portion because it falls under inpatient.  So all I have to do is get a letter from my actual doctors' office saying   Prior auth for inpatient for surgery sent to insurance from primary care doctor and they will cover the rest except for my copay.. But I rather pay $400.00 a day vs $16,100.00.              So I don't know if anyone is going thru what I've just been thru but spread the word because this is really great for those who can get approved for carecredit credit card to take care of procedure and then insurance pay the rest

Wow. This is great information. My insurance will not cover the surgery either but never thought abt the hospital it covering. Thank you! Def. Going to check out.

This is a great post!  A lot of insurance companies with WLS exclusions exclude anything having to do with WLS, including hospital fees for stays.  But, if you don't try to get your insurance to pay, you could be losing out!

Thanks for the head's up!

hello what kind of surgery did you get and what type of insurance do you have if you don't mind me asking

Hi. I am going through this now. I called the hospital to let them know this but they said that they can't separate the cost. In the beginning I was told that my surgeons fee was 3000 and hospital fee was 9900. Now the lady says that they can't separate the two. I'm at square one AGAIN. Any suggestions

Self pay in Mexico is cheaper than going through your insurance.  :(  However, IF you do your research it is very safe.  But as i told you in the revision forum, different states vary in laws of how they can code.  Some can do a revision and the ins only pays for the band removal and some states are not permitted to change coding.  Sounds like your state is one that is unable to change coding.