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How much did your insurance pay


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Posted June 4, 2011 - 9:50 AM

I had surgery on Jan 28th , I went trough my insurance BCBS , the checks have been rolling in for my WLS place , check here , check there , then I started to notice the bigger checks , 13,000 , 8,0000, then wow a check for 31,000 , I was like dang , so me and the wife started doing the math , my ins has payed 72,000 for my WLS journey so far , we just couldn't believe it , so far I have not payed anything , I know one thing if they try to come after me for ins not paying them enough , I will be yelling

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Posted June 4, 2011 - 10:03 AM

That's crazy. If you self pay it's less than $20K. No wonder insurance premiums are so dang high!
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Posted June 4, 2011 - 11:13 AM

The total cost of my surgery was $22,000 and we had to pay 20% of that. Fun fun fun.

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Posted June 4, 2011 - 11:56 AM

They paid 85% I think; my total cost was no more than $700.
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Posted June 4, 2011 - 12:31 PM

I had a copay of $250! I don't think my insurance paid anywhere near $72,000. I think they only paid like 16 or $18000. Not positive though. Kind of sucks for my insurance because like 2 months before my surgery my company switched to Oxford, now 5 months after my surgery my company switched back to Empire BCBS.
Highest weigh - 308 lb
Weight at beginning of 6 months monitored weight loss - 257 lb, at end 246.6
Surgery scheduled 12/20/10 weight 236.8





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Posted June 4, 2011 - 2:45 PM

Initial bill of 47k was sent to my insurance. Hospital forgot to include condition code and payment was denied. I am keeping my fingers x-ed hopping hospital will resubmit all needed info back to insurance so I would not need to pay :-/
Ed Session 12/21/10--Psycho Eval 01/17/11--Surgeon, nurse, nutritionist consult 01/20/11--Approved(Anthem BCBS in 30 min) 02/08/11--Surgery 03/02/11
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Posted June 8, 2011 - 8:43 PM

Total cost for my surgery was $47,000 and I paid $2500 out of pocket.

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Posted June 9, 2011 - 6:52 PM

I have blue cross blue shield also and they covered 90 %. All I had to come up with out of pocket was $1000.
Jacob (Thee-O)
http://www.djthee-o.com


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Posted June 9, 2011 - 8:55 PM

Maybe I didn't say it right , how much did your ins pay for your WLS , not how much you payed out , or they payed 80 and you payed 20 , the cost of your surgery they billed your ins , like I said so far my ins has payed 72,000 for my surgery , just wondering if other people are seeing that much money spent for the WLS

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Posted June 9, 2011 - 10:30 PM

I paid $20.

Out of pocket rate was about $16k a the time, IIRC.

Negotiated rate paid out about $7k.
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