Has anyone's health insurance covered 100% of your surgeries?

[Guest guest]

Mine is " supposed to! " I'll let you know if it actually does. My

date is Dec 7. (4 WEEKS!) I have Colonial Healthcare in Ohio.

Sue

[Guest guest]

Yes, in Ontario, the surgery is covered 100% by our provincial health

insurance plan (OHIP). I just paid for out-of-hospital care by my

surgeon (visits to his office), which was C$ 1,200.

[Guest guest]

Hi Siggymurch,

My insurance is covering my surgery at 80%, with a $1000 out of pocket

pay cap as the surgeon is out of network. My hospital is in network,

so that will be covered at 100% The most I will be out of pocket is

$1000, but it looks like it will just be $700 due to lower surgeons

fees.

But my insurance would not have paid if I did not meet certain

qualifying guidelines that they have predetermined. It is pretty much

up to your OMS to write the letter for you to make that

determination. And it is highly recommended that you get a written

preauthorization if you are covered. I got mine BEFORE I was willing

to shell out for the braces, which were not covered at all. I put

down a small downpayment and am making monthly payments for the

braces. Good luck to you with this!

Hugs,

Fran