Guest guest Posted November 4, 2005 Report Share Posted November 4, 2005 Your out of pocket could be $1,700 ($200 ded + $1,500 oop). You should be receiving explanation of benefits from the insurance that will show billed cost, discounted and final approved amount. You need to make sure the providers are not billing you for any amounts that should have been discounted. This can happen if they are not crediting your account properly. If any of the bills were for an out of network provider you will be paying more than the $1,700 and covering the cost of any services over reasonable and customary. Hope this helps. Kim __________________________________ Yahoo! FareChase: Search multiple travel sites in one click. http://farechase.yahoo.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2005 Report Share Posted November 4, 2005 Hi Nky_guy77, I hope it goes well for you. Let us know what you find out when you are able to talk with them. Crossing my fingers for you! Hugs, Fran > > after doing some research I have a PPO and my deductible is $200.00 > and my maxium out of pocket is $1500 per calendar year, which is alot > better than I thought. Im not good with this kind of stuff so doesnt > that mean the most I should have to pay for my surgery, surgeon and > hospital is 1500 right? > > I plan on calling my insurance company up to ask them about this but I > really cant talk right now so I will have to wait. I know when I went > to my surgeon I made sure he was in the network and I am almost sure > the hospital is too. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2005 Report Share Posted November 5, 2005 Some insurance companies have out of pockets for " in network " and other out of pockets for " out of network " , so you could have $1500 on bothe in and out of networks, for a total of $3,000. Ask them about this specifically. Also, make sure the surgeon uses all of one or the other type of people, to minimize your costs if that's the case. > > after doing some research I have a PPO and my deductible is $200.00 > and my maxium out of pocket is $1500 per calendar year, which is alot > better than I thought. Im not good with this kind of stuff so doesnt > that mean the most I should have to pay for my surgery, surgeon and > hospital is 1500 right? > > I plan on calling my insurance company up to ask them about this but I > really cant talk right now so I will have to wait. I know when I went > to my surgeon I made sure he was in the network and I am almost sure > the hospital is too. > Quote Link to comment Share on other sites More sharing options...
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