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