ANA Discussion Forum

General Category => Insurance => Topic started by: LID on January 17, 2007, 06:22:13 pm

Title: Baha costs
Post by: LID on January 17, 2007, 06:22:13 pm

Hello all-

I am back after a long absence but need some help. I had a removal on 4-4-06 with a BAHA implant. The results have been just great.
My insurance covered all except the BAHA portion. I feel that my payment to House for the surgical portion of $3883 was reasonable. I also feel that the cost of the device @ approx. $4000 was reasonable. However, I feel that the hospital billing of $14,389.00 for the BAHA implant and screws is exhorbitant. The remainder of the billing from St. Vincent's (LA) was $60,000. This was covered by my insurance.
Can any of you share with me what your cost for the BAHA surgery was (hospital portion only)?

Thanks -  Lynn

Title: Re: Baha costs
Post by: Joef on January 24, 2007, 07:56:21 am

I dont remember the costs exactly .. but those numbers sound right .. are they expecting you to pay the difference? or just taking what they get from insurance?

Title: Re: Baha costs
Post by: LID on February 01, 2007, 01:43:42 pm

St. Vincent hospital is asking me to pay all of what my insurance did not pay. This totals $14,389.00. This represents only the BAHA implant, mesh and screws. It does not include the processor or any surgeons fees.
This seems very high. Anyone else have any input?

Lynn

Title: Re: Baha costs
Post by: ppearl214 on February 01, 2007, 02:28:38 pm

Hi Lynn and Joe,

Based on what you note and some other reading I have done here, would it be a fair assumption that BAHA is not covered by most insurance plans?  Same for TransEar?  Just curious.

Thanks.
Phyl

Title: Re: Baha costs
Post by: Joef on February 01, 2007, 06:55:41 pm

so your insurance is not paying ANY of the BAHA surgery costs? normally one gets stuck with the 4,000$ processor itself .. but insurance picks up the tab for surgery .. talk to your doctors , they may be able to help... they can stress with that the BAHA needed for because of single sided deafness ...

Title: Re: Baha costs
Post by: 1wareagle on February 13, 2007, 03:58:03 pm

I got my Blue Cross & Shield totals from all the bills today and nothing is detailed out from the doctors or the hospital for me to see the exact cost of my BAHA. But they must have paid everything except the deductable and out of pocket expense. The total surgery and BAHA was $140,000.00 and my part was $3,100.00. Elllis

Title: Re: Baha costs
Post by: Nancy T on April 12, 2007, 11:18:14 pm

My neurotologist here in Portland told me the surgery and processor altogether would cost in the neighborhood of $20,000 (done in the hospital).

My insurance doesn't cover it, and I can't afford it.

I don't have an acoustic neuroma but had a severe sudden hearing loss on the left and would be a BAHA candidate.

Nancy T.

Title: Re: Baha costs
Post by: leapyrtwins on July 07, 2007, 04:54:20 pm

Am considering a BAHA in early 2008.  I've talked to my insurance company preliminarily about coverage.  Their position, like most providers, is that they don't cover hearing aides.  I explained that the BAHA is not your average hearing aide - it is an implant.   They didn't guarantee coverage, but did tell me that they cover Cochlear implants so they say they will tentatively cover the BAHA.  It was suggested that as I get closer to surgery I should ask the doctor to submit more info on the BAHA and explain why I need it, as opposed to the Cochlear; at that point they will tell me if they'll cover it.

I'm from Illinois (Chicago area) and have heard that just the BAHA device can run as much as $20,000 - $24,000.  Does anyone know if this is correct?  From the postings I've just read, that seems very high.

I know there are other costs associated with the implant - outpatient facility, doctor fees, anesthesia, etc.   Could it be that the entire procedure, device included, goes for $20,000 to $24,000?

Title: Re: Baha costs
Post by: Boppie on July 07, 2007, 09:16:31 pm

That price for the implant surgery plus device sounds close to total amounts I have heard.  The device is not $20,000.

Title: Re: Baha costs
Post by: Sam Rush on July 08, 2007, 11:15:56 am

My Ins paid for surgery, but not the hardware. I had to pay $4000.00  before I could leave with it.

Title: Re: Baha costs
Post by: leapyrtwins on July 08, 2007, 09:12:27 pm

Thanks for the input on the BAHA costs.  I figured if insurance covered it, it would include the cost of the device as well as the surgery, but I guess not, huh?  Sounds like I'll be paying approximately $4,000.

New question.  My surgeon and I have discussed the BAHA, but not the TransEar - which I was unaware of until I  read about it in this forum.  Can someone please tell me why you would have a BAHA vs a TransEar other than the obvious fact that one requires a surgery and one does not?

Thanks.

Title: Re: Baha costs
Post by: Laurie on July 09, 2007, 08:15:57 am

I had a Baha implant January 3, 2007.  My insurance paid for the Dr., hospital and implant and almost the entire cost with the exception of a few hundred dollars.  They did not pay for the device which cost $4200.  I have been appealing this non payment.  Why would they pay for the implant, dr and hospital and not the device?  The implant is pointless without the device.  I am not giving up on them paying and I will keep appealing this decision.  The cost for your surgery seems high to me.  I looked through my paper work and could not find the cost, but I don't remember it been that costly.  If you feel you are being overcharged you need to work with your insurance company as much as possible.  I will continue to look for the charges and if I find them I will email back.
Has anyone had their insurance pay for the attachment?

Laurie

Title: Re: Baha costs
Post by: Pat on July 17, 2007, 06:09:24 pm

Lynn,
 My Doc said the Baha surgery would run about $20,000 . I assumed that would be at UVA also.
I`ve decided not to go that route
hang in there Pat