Confused on how out of pocket maximum applies to surgery

I have Anthem BlueCross BlueSheild health insurance. On my summery of benefits, it says outpaitent surgery only has a 75 copay when it’s done in network. It also mentions a 3,000 dollar out of pocket maximum

When I called my insurance company they said that the 3,000 dollar out of pocket maximum would apply to the cost of surgery…however, my mother, who is covered in the exact same plan, got a surgery that falls under the same category under the one I plan to have at the very beginning of the plan year and was only charged the 75 dollar Co pay, absolutely nothing else.

So…which is the correct answer? I don’t want to go through surgery expecting it to be practically free and be whammed with a 3,000 dollar bill

submitted by /u/Jmh1881
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I have Anthem BlueCross BlueSheild health insurance. On my summery of benefits, it says outpaitent surgery only has a 75 copay when it’s done in network. It also mentions a 3,000 dollar out of pocket maximum When I called my insurance company they said that the 3,000 dollar out of pocket maximum would apply to the cost of surgery…however, my mother, who is covered in the exact same plan, got a surgery that falls under the same category under the one I plan to have at the very beginning of the plan year and was only charged the 75 dollar Co pay, absolutely nothing else. So…which is the correct answer? I don’t want to go through surgery expecting it to be practically free and be whammed with a 3,000 dollar bill
submitted by /u/Jmh1881 [link] [comments]Read Morer/HealthInsurance

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