Hello all!
It's been a little more than a few months since I last posted, and I have made some progress with the hopes to correct my past orthodontic treatment. All I can say is f#%k my old orthodontist, because it's going to cost a lot of money to fix his handiwork. I sincerely hope he's no longer practicing.
I found a surgeon that I feel comfortable with, and although I am still cautiously optimistic about the whole process, I really hope I can continue moving forward. The part that is really scaring me is the price. I am very grateful that I will not need braces for longer than a few months, so that is one less expense that I will have to worry about long-term. The surgeon said I will have some kind of braces fixed to my teeth a few weeks before and after the procedures, but that's it. This is only because my old orthodontist was able to get my bite/teeth into a workable position while camouflaging the skeletal deformities I was developing. He treated me for 11 years, so I believe his drawn-out treatment plan, the years-long use of high-pull headgear/braces, and the 4 adult teeth I had extracted at a young age are the reasons for my issues now.
For the surgeon's fees alone I was quoted almost $20,000 for a BSSO, Lefort 1, and a genioplasty. I will have to pay the full price of the genioplasty, but they were posing that the other two might be somewhat covered by my insurance. I am not as optimistic, and I'm expecting that have to pay that total out of pocket. The next immediate step for me is having a CT scan so the surgeon can take a better look at my soft tissue and airway.
I've been saving for a while and feel confident that I can cover the majority of the surgeon's fee on my own, but I start feeling anxious when I think about all of the other fees that haven't been accounted for yet. The OR room costs (I've read quotes of $60+ p/minute), anesthesiologist, over-night inpatient care, and probably even more fees that I don't even know about yet. Even if my insurance denies the cost of the surgeries, can they deny coverage of the care I'd need in the hospital? Is there a chance I'd have to pay all of these expenses out of pocket? My surgeon will perform the operation at a hospital that is in-network, but I don't know if that matters.
I should be hearing back from the surgeon's office this week about what my insurance will be able to handle, but until then I'm just over-thinking and freaking out! I know my case is pretty unusual, so I don't know if anyone out there has been through something similar.
Thanks for reading through all this, I appreciate any insight you guys would have!
Is insurance coverage all or nothing? How much were you covered?
Moderator: bbsadmin
-
- Posts: 4
- Joined: Sun Mar 26, 2017 11:19 am
- ProudMama1015
- Posts: 15
- Joined: Mon Aug 07, 2017 9:33 am
- Location: Orlando, FL
Re: Is insurance coverage all or nothing? How much were you covered?
My total cost was $3950. Well thats what they estimated to me. My out of pocket expense is $2400. Which kind of stinks but it is what it is.
Re: Is insurance coverage all or nothing? How much were you covered?
My surgeon's fees were somewhere around 30k, then I had the hospital fees. I paid 3k out of pocket and my insurance covered the rest.
-
- Posts: 208
- Joined: Sat Mar 18, 2017 11:07 am
Re: Is insurance coverage all or nothing? How much were you covered?
I had metal braces with 6 clear brackets. I paid a little under 900 here in Canada. Insurance covered the rest.
-
- Posts: 996
- Joined: Wed Feb 18, 2015 7:31 am
Re: Is insurance coverage all or nothing? How much were you covered?
If your insurance determines that the procedures aren't medically necessary, then no, they won't cover the hospital stay either. They won't cover anything at all. But good luck, I hope you get coverage!