Received a $12,000+ bill for my RNY - anyone else experience this?

Courtney D.
on 4/11/14 6:47 am

I just got one for 101k!!! I had a slipped lapband and revised to RNY with gallbladder removal, they're trying to say that the hospital I had it at wasn't in network.. But I had a surgery 3 weeks prior same hospital same dr and it was covered 90%. My dr office told me that I was they're way of trying to get out of paying it even though it had all fully been approved! Bunch of crock! 

Candy V.
on 4/11/14 7:26 am - MI
RNY on 09/12/12

Ouch!  I had a regular deductible $4k and a WTL deductible 1K.  They made me pay up front.  I hope it all works out for you.

 RNY 9/12    TT 9/13    HT 5' 4"   HW 250    SW 242   CW 125

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(deactivated member)
on 4/11/14 7:50 am - San Antonio, TX

My hospital bill was almost the same as yours. It was just under $48,000. I was pre approved by BCBS but then denied after the surgery. They said the pre approval was not a guarantee of payment. They did end up giving me the contracted amount which brought it down to $15,000 and then I made a cash deal with them for $10,000. Even though I had to pay it's still the best $10,000 I've ever spent. 

gtrdyfor50
on 4/11/14 8:37 am
RNY on 10/08/13
What a pain in the butt, I really hope that you are able to get it sorted out without too much more crap to deal with.

    

     

                                                
NDHM
on 4/11/14 9:45 am

I truly think this sort of thing happens because most people will not go to the trouble of fighting it. They somehow feel they must have misunderstood, missed something, etc & will set up a payment schedule. We went through this with my dad's open heart surgery. The dr's office was furious & refused to let my dad pay. They insisted we fight it & they ultimately paid. Just a huge hassle. 

(deactivated member)
on 4/11/14 11:21 am - San Antonio, TX

I wouldn't blindly pay a $48,000 bill. Of course I fought it. The insurance denied the appeals. I felt fortunate that I only ended up having to pay $10,000. 

Kimberly K.
on 4/11/14 10:42 am
RNY on 03/21/14

Holy crap. I don't blame you for freaking out. I am waiting for a bill to come in the mail. Hope it is not $12,000! I called my insurance company to confirm the max out of pocket amount but of course I took no names so really anything can happen. Please keep us posted. Hope this all gets resolved for you.

Kim K.    

White Dove
on 4/11/14 11:37 am - Warren, OH

Contact the hospital and ask for a patient advocate.

Real life begins where your comfort zone ends

Cicerogirl, The PhD
Version

on 4/11/14 12:28 pm - OH

As Geek said, before you do ANYTHING else, get a written copy of your policy specifics!  If they have a limit on how much they cover for a particular item, it MUST be in the coverage document.

14 years out; 190 pounds lost, 165 pound loss maintained

You don't drown by falling in the water. You drown by staying there.

Ashley in Belgium
on 4/11/14 7:33 pm, edited 4/11/14 7:33 pm - Belgium
RNY on 08/08/13

Another thing to look out for is the billing codes used by the hospital/doctors etc.  Sometimes these don't line up and they deny without you knowing exactly why.  This happened to me for my oldest son'es birth.  I got a bill for $130,000 - yes that is right.  Took forever to sort it out.  Record every conversation, get names and specifics.  Build your case file and fight to the end!

Revision Band to RNY 8/8/13 5'4" HW 252 Lbs / SW 236 Lb / GW 135 lb / CW 127

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