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Re: HMO coverage
From: Amber (anonymous@obgyn.net)
Fri Aug 25 06:58:56 2006
Thank you for the info, I have been able to find out a lot of helpful
information, through the CEC and some of their prior patients, now I am
just waiting to hear back from the HMO. I am trying to think positive!!
At Thu, 24 Aug 2006, Lorilee wrote:
>
>This is where my H.R. really had to fight for the insurance to pay,
>because there was no specialist in the network, and of my diagnosis with
>the doctors within the network would require a specialist. She also
>brought up the technique used for the type of laproscopic procodure used
>by Albee is for the complete removal of the endo. (Of course, there is
>always a chance that it can come back.)
>As to all of the surgeries, medicine, hospital visits were not making me
>any better.
>I do not know exactly what all she (H.R.) said, but it did work. We
>sent her a nice present for the help.
>Lorilee
>
>At Mon, 21 Aug 2006, Amber wrote:
>>
>>Has anyone had any experience getting coverage out of network with their
>>HMO? I have Optima Health HMO in Virginia and they said they will not
>>cover laproscopic excision at the CEC in Atlanta. I know there are no
>>doctors in this area that can perform that surgery, my doctor already
>>said all they can do is laser it off the surface which does not work. If
>>anyone has any advice on dealing with your HMO please let me know. Thank
>>you,
>>Amber
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