Author Topic: Surgery Costs, Surgeon's Fee, Insurance Coverage/Reimbursement US  (Read 1325 times)

bluejay

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These questions are really meant for US patients. Feel free to comment with experiences in other countries, just please make it clear in your post.

What is your experience?

Did you have to pay anything upfront?

How much did your insurance cover (percent is fine)?

Was the surgeon's fee paid for by insurance?

For my 1st surgery in 2008, The hospital was covered 100% after a $1500.00 deductible. (try and find a plan like that today)
The surgeon was out of network. The insurance company valued his services @ $863.00, which did not come close to the $1500.00 out of network deductible. I was responsible for the $5,000.00 surgeon's fee.

nrelax11

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Re: Surgery Costs, Surgeon's Fee, Insurance Coverage/Reimbursement US
« Reply #1 on: February 09, 2014, 11:50:14 AM »
Im very lucky that my insurance covers most Jaw surgeries.  My surgeon just had to agree to it and thats good enough for the insurance company. It will most likely be a $10 co pay, so im very happy about that. A lot of mines is cosmetic, but at the same time, I cant get my jaw comfortable, so I feel its very necessary.