How much would insurance pay for mandibular advancement surgery?
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I need to get a mandibular advancement surgery done I also dont have a health plan Though I plan to get a health care plan Im not sure which to get. Im willing to pay a higher premium for better coverage, but all this nonsense about deductibles and co pays have my confused as in to how much that the insurance company will pay and how much ill pay out of my own pocket. The estimated costs from reading around ranges from 14,000 - 35,000 dollars! assuming that this is the plan ill pay for how much of the sum will the company pay? http://www.horizon-bcbsnj.com/ProspectSite/individuals_families/plan_a_50.aspx?WT.svl=ProspectSite&WT.ac=IndividualsFamiliesLeftNav
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Answer:
Without even looking at the policy I can tell you that the insurance will pay 0% and you will pay 100%. Unless you live in a guaranteed issue state (which you don't since you are looking at BCBSNJ) you cannot get any health insurance plan if you have impending surgery. Your only option would be get a job that has health benefits. As soon as the waiting period is over the insurance will pay a portion of your surgery. How much it pays will depend upon the health plan that the employer has purchased.
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Other answers
None of them are going to cover a preexisting condition. As you already NEED the surgery, it's preexisting. If this wasn't preexisting, they'd pay 70% AFTER you paid the first $2500 - so YOU would pay maybe $8500. Think of it this way. If you have to pay $20,000 out of pocket, that's really only about five years - maybe less - of insurance premium. You can pay for it with all the money you "saved" by not buying health insurance for the past five years.
In your case, insurance will pay nothing for the surgery. Insurance will only pay something for surgery that you do not begin to need until after you first get insurance. If you have no health plan, and you already need the surgery, then insurance will not pay for that surgery. You will pay all of from your own pocket, because you did not yet have a health plan when you began to need it.
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