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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