Question:
What amounts did you have to pay up front? and...

How are you being billed now after your procedure? I am going with Dr. Amy Rose and just wondered if others have to pay a certain amount down? What does that count towards? Thanks for any info I am confused about deductibles/out of pocket expenses. Insurance says we have 153 left to meet my deductible, and a 1000 max out of pocket. Hope to get some understanding. No matter, I am having preops on Sept 4th, and Lap RNY on Sept. 11th!!! YIPEEEE!!!!!!!    — Chandra M. (posted on August 13, 2001)


August 13, 2001
<font color=purple>It would seem to me that you would pay the $153 or whatever is left on your deductible prior to surgery and then whatever your surgery copayment if any is. Do you pay for surgery? Do you have to pay a portion to the Dr or Hospital etc? I can help you figure some of it out if you want. Email if you want.</font><font color=red>[email protected]</font>
   — Dawn R.

August 13, 2001
Although we do not have the same insurance company, I believe that all plans have the same basic rules. My insurance explained this to me as follows: You have a maximum $ amount that you pay for services per calender year. Mine is $4000.00 per person and my deductible is $500 per person or $1500 per family. My plan pays 80% for inpatient services. That means that I am responsible for 20% of my surgery up to $4000.00. Included in the $4000.00 is any co-pays I have already paid, any additional in network services etc...Your maximum would be $153.00 to meet the deductible and anything adding up to $1000.00. I had my insurance company explain this to me over and over and I took really good notes! Yippie for you that your out of pocket is so low!!!!!
   — jenn2002




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