What $ amount should I expect insurance to cover?

Melinda L.
on 6/6/11 7:33 am - San Antonio, TX

First off, I have already been approved (after an appeal) for a Panniculectomy by my Insurance company.  The original PS that submitted the work only gave me a self-pay price for the LBL and BL.  They say they can't give me an estimate of what the insurance will cover until afterwards - but I need to know before-hand so I can make sure I have enough money put aside.

Those of you out there who had a Panniculectomy that was covered by your ins, but still had the full LBL done - do you know what the difference was in the pricing? 

The office said it wasn't going to be 'that' much difference because only the surgeon’s fee would be deducted, because I was already going to be in the operating room for something else.  (Which doesn’t sound right to me?)

This PS was (about) $14k for the LBL and $7k for the BL, so about $22k total.

Any info is greatly appreciated!!

RNY - 12/10/2008    Dr. Terive Duperier of BMI of Texas
Lower Body Lift / Breast Lift - 07/20/2011  
Dr Peter Fisher of San Antonio Plastic Surgery Center
  
  
(deactivated member)
on 6/6/11 9:41 am - Yorktown, VA
I paid $12,760 for my LBL up front before getting insurance approval.  (This was a reduced rate as I'm scheduling other procedures with the same surgeon for the future.)  I got insurance approval after I paid, so they had to rerun the numbers for me.  The hospital bills differently for a cosmetice (no insurance approval) vs. a medical procedure.  I was told that I should get $3200 back after my insurance pays.
Melinda L.
on 6/8/11 12:45 am - San Antonio, TX
Thanks. 

I know I have seen other numbers out there, but just don't have the time to do a search and then dig though all the randomness (search on hre isn't very useful).

I just thought I could get more than one example.

thanks anyway.
RNY - 12/10/2008    Dr. Terive Duperier of BMI of Texas
Lower Body Lift / Breast Lift - 07/20/2011  
Dr Peter Fisher of San Antonio Plastic Surgery Center
  
  
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