Recent Posts

chicaletta
on 4/16/14 10:53 pm
VSG on 04/24/14
Topic: RE: Hospital asking for out of pocket up front, but deductible met????

Yes, I also had to pay my portion up front before surgery. I had lapband in 2008 and that hospital told me I would need my portion paid before I did my preops and now I'm scheduled for revision to sleeve at a different hospital and they too called me for my payment portion before I went for my preops. 

            
Jules78
on 4/16/14 10:23 pm - GA
VSG on 05/01/14
hollykim
on 4/16/14 9:23 am, edited 4/16/14 9:23 am - Nashville, TN
Revision on 03/18/15
Topic: RE: Hospital asking for out of pocket up front, but deductible met????

they are asking for the out of pocket upfront because they have been burned in the past buy patients not wanting to pay their portion after procedures have been done. It is not unusual for them to ask for it upfront,every time I have a procedure  for anything,they want my part that day. 

If you end up not owing that much,you will receive a refund check. 

GL

 


          

 

Jules78
on 4/16/14 2:40 am - GA
VSG on 05/01/14
Topic: Hospital asking for out of pocket up front, but deductible met????

Hello everyone, I'm new here and find this site super helpful!  I'm scheduled for VSG on 05/01/14 at Emory Midtown in Atlanta.  When I called to register for the surgery the lady on the phone was really pressuring me to go ahead and pay the out of pocket amount over the phone.  At the time my deductible had not been met and I informed her that I would have the $500 deductible on the day of pre-op and she reluctantly agreed.  

Today I spoke with Aetna and was informed that my deductible has now been met and I have roughly $2700 left for out of pocket.  I told her that the hospital was asking for that and she advised me not to pay that to anyone upfront because I could end up overpaying someone.  I'm so confused now.  Why is the hospital asking for the out of pocket upfront???  I would appreciate any help with this.  Thanks in advance.

Sweetish
on 4/15/14 3:49 pm
RNY on 12/12/14
Topic: Regence Life and Health Ins.

Does anyone have Regence Life and Health Ins.?  It is an Independent Licensee of BC/BS.

If so, were they hard to work with?  Is there anyone that has been approved?  If so, can you contact me with any advice?  

Thank you so much!  any help would greatly  be appreciated :)

CGervolstad23
on 4/14/14 12:24 am
Topic: RE: Medi-Cal???

What about the psychological evaluation and the nutrition portion? 

 

hollykim
on 4/14/14 12:13 am - Nashville, TN
Revision on 03/18/15
Topic: RE: Excluded under new job :(

if it is excluded on your policy the only options you have is find a new job that may have Wls benefits or go the self pay route. 

I also had an exclusion and self paid for Wls and recently plastics and it's has ,hands down, been the best money I have ever spent for myself. 

I suggest going to the Mexico forum and reading there. Read page after page of posts and you will begin  to see a pattern of the surgeons used inMX and how ppl feel about their services. 

The cost for surgery in MX is a huge fraction of the cost formost self paid plans in the states. There are surgeons who offer  self pay. Plans but sometimes they are hard to find.

gL

 


          

 

VSG_VET
on 4/12/14 10:11 am
Topic: RE: ObamaCare doesn't really care!

I am single, no kids, had lost my job and I'm black but couldn't get medicaid. Fortunately I started using VA benefits I didnt even know that I was entitled to. Good luck keep trying

 

    

    
beldujour
on 4/12/14 9:02 am
VSG on 09/25/14
Topic: RE: ObamaCare doesn't really care!

I too wish there were consistency among the various Marketplace plans, but there are similar variations from state to state for insurance which is purchased privately or provided by employers, so I guess it's par for the course. And the Marketplace people I dealt with were pretty clueless. That factor, coupled with the website issues, made me despair of obtaining coverage. It was pretty frustrating, but I persevered through three application attempts and finally succeeded. I was able to obtain a much better plan for about 40% less than what I was previously paying for a crappy plan, so it was definitely worth it.

56sunShine14
on 4/12/14 7:47 am
Topic: RE: ObamaCare doesn't really care!

No worries beldujour. I wonder if correct info was given by everyone  because I did ask one specific question non WLS related and got 2 different answers.  The Healthcare Marketplace was staffed by people who worked on commission.  That said, you have to really dig in and I had to make them earn their commission or I would not have gotten that far.  Personally, I don't feel there should be a difference n Marketplace plans but since economic facts vary per state, so must this I guess.

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