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Re: Response about insurance

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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

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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.

>

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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.

>

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