| Notices | Unregistered,! Please click here for more information on the 2008 National Lap-Band Conference event. | United Health Care Question This is a discussion on United Health Care Question within the Insurance & Financing forums.
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11-20-2006, 10:40 AM
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#1 | | Registered User Thread Starter  
Join Date: Nov 2006 Age: 49
Posts: 1
| United Health Care Question
Hello,
I'm starting my research today and I was hoping that someone could tell me the approx out of pocket dollar amount they had using United Health Care? My insurance covers 80% and I'd be paying the remaining 20%.
Thanks,
Patty
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11-20-2006, 10:59 AM
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#2 | | Flying High
Join Date: Dec 2005 Age: 47
Posts: 800
City: Allen State: TX |
My 20% of the surgeon's fee was 1000.00
My 20% of anesthesia was 360.00
My hospital charge was a 50.00 copay.
I was on a different insurance when I had my pretesting done.
Myra
__________________
Let me tell you the SECRET that WILL lead me to my GOAL: my STRENGTH lies solely in my TENACITY. (adapted from Louis Pasteur) "Ginger Rogers did everything Fred Astaire did. SHE JUST DID IT BACKWARDS AND IN HIGH HEELS" Former Texas Governor Ann Richards Surgery 5/19/2006 Dr. Louis Fox http://www.lapband4u.com/ Medical City of Dallas Hospital |
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11-20-2006, 11:04 AM
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#3 | | Token atheist / moderator
Join Date: Oct 2005 Age: 32
Posts: 6,272
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I have UHC but didn't have to pay 20%, just my copay responsibilities. Inpatient was covered at 100%. Total out of pocket for the surgery was about $180 worth of $20 copays.
__________________
-175 pounds
Banded March 1, 2006
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11-21-2006, 10:51 AM
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#4 | | Registered User
Join Date: Nov 2006
Posts: 198
City: The O.C. State: Texas |
I Will Be With Uhc PPO Starting January
I Was Told By The Customer Service Rep That They Will Pay 80% all They Require Of Me Is A Bmi Of 40 And Letter From Dr. Rivas!!
I Will Pay 20% Not Including My Co-pays Of Office Visits
My Insurance Guy Said I'm Looking At 2200.00 Out Of Pocket
I Say It's An Investment That I Will Never Regret!!
Size 14 Here I Come!!!!
Good Luck See You On The Other Side
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11-21-2006, 11:27 AM
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#5 | | Banded and loving it
Join Date: Oct 2006
Posts: 1,752
State: Oklahoma |
I guess everyone has a different plan, depending on your employer. I was told by UHC that I just had to have a BMI of 40 to qualify, and my maximum out of pocket is $1,000.00. I have the 90%/10% plan is what they told me, so I would have to pay 10% with a miximum out of pocket of $1,000.
Funny how everyone is different but with the same insurance. I feel lucky that I do have an insurance that will cover WLS as many do not.
__________________ Jammin' January '07 Bandster 
Banded 1/18/07
248/171/145
4 cc band- 13 fills - 3 unfills |
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11-21-2006, 11:38 AM
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#6 | | Token atheist / moderator
Join Date: Oct 2005 Age: 32
Posts: 6,272
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UHC offers 9 different plans just where I work, and the one I have is specific to where I live, so I don't even want to try and guess how many are available on an inter/national basis!
Here's a list of what my surgery cost, formatted as "total charge"/"patient responsibility". (Note that total charge is the original charge, not the tiny amount that is actually paid once network rates are applied)
$1347.98/$0
$35.00/$0
$4000/$0
$2023.99/$0
$18/$0
$42/$0
$29,076.25/$0
$165.00/$0
$165.00/$20 (copay to psych)
$330.00/$20 (copay to psych)
$200/$20 (copay to psych)
$116/$20 (copay to the hospital)
$228/$20 (copay to the surgeon)
So total billed for my surgery was just under $40,000
Total out of my pocket was $100 (including a few other copays to PCP for physical, etc.)
Kicker is that total my insurance company paid out is something like $1800, once their negotiated rates were applied.
__________________
-175 pounds
Banded March 1, 2006
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11-21-2006, 01:12 PM
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#7 | | Banded and loving it
Join Date: Oct 2006
Posts: 1,752
State: Oklahoma |
WOW - Wheetsin, you got a hellova deal! I can't believe the total price was just under $40,000, and the insurance negotiaed rate was $1800. Too bad they don't offer negotiated rates to out of pocket people.
I think you have a great insurance plan!
PS, very impressed with your stats too! you are rockin!
__________________ Jammin' January '07 Bandster 
Banded 1/18/07
248/171/145
4 cc band- 13 fills - 3 unfills |
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11-21-2006, 09:47 PM
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#8 | | Registered User
Join Date: Nov 2006 Age: 43
Posts: 7
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I Have United Health Care. I Thought I Would Have To Pay 20 % Was Pleasently Surprised To Be Approved In 5 Days. And Only Paid 30 Co Pay Like An Office Visit. I Now Pay 30 For Each Fill. I Love United Health They Have Made My Life So Much Better. I Have 6 Pounds To Go To Goal. 71 Pounds Since Jan. 28 2006. I Love The Band And Dr. Spivak.:)
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11-28-2006, 04:11 PM
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#9 | | Registered User
Join Date: Nov 2006 Age: 34
Posts: 11
City: Wesson State: Mississippi |
hey ya'll
Well my insurance is with uhc and they pay 70% surgeon, 70% anthesiatology, 100% hospital stay but i am wait to hear from the insurance company to see if it approved the surgery, I am nervous too, I am praying that it pays for it and i can go ahead and have the surgery
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11-28-2006, 04:16 PM
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#10 | | Registered User
Join Date: May 2006 Age: 41
Posts: 5,765
City: Gilroy State: CA |
The approved me out of network for my surgery but it took a letter from my doctor stating he was the only surgeon within a 30 mile radius. They don't, however cover my fills.
__________________  Julie
banded 6/6/06
Dr. McKeen, San Jose CA
320/213/goal 199. Almost there!
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11-28-2006, 04:25 PM
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#11 | | <----My new Belly Button
Join Date: Jun 2006 Age: 38
Posts: 833
City: Wylie State: TX |
I had UHC PPO. I paid $200 hospital co-pay, $250 for the physicians assistant, and $250 to the sleep study. Besides the $15 co-pays per visit, that was it. And the approval process was seamless. I had my surgery 5 weeks to the day after my innitial consultation. I never talked to the insurance company, my doctors office did all the work. Easiest thing I have done in a long time! I just changed jobs and was pleased to find out I will still have UHC. I am sure it will be a little different based on the terms and exclusion from my company, but I know the UHC has been great.
__________________ Banded May, 9, 2006 by Dr. Cribbens. Reached goal - maintaining Abdominoplasty: 02/11/2008 PS pics are here: |
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