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Re: Has anyone had excision surgery? I forgot to ask a few more questions?
From: anonymous@obgyn.net
Sun Aug 27 19:26:24 2006
At Sun, 27 Aug 2006, Sabrina wrote:
>
>I don't know about the actual surgery. I am going to ask to have one
>done nxt week. But as far as insurance, call them. Mine said that if
>my dr won't do a lap that I could ask for an out of network referral due
>to no specialists being available. It will costs the same as in
>network.
>
****************** I live in fl also call this doctor in TN he can help
you and accepts insurance in the tn office... e mail me if you want
more info.http://www.gyndr.com/
>At Sun, 27 Aug 2006, PAMELA wrote:
>>
>>1) How long did your surgery last? 6 and a half hours
>>
>>2) Were you bedridden afterwards? for 1 day
>>
>>3) If you work, when were you able to return to work after your surgery? i dont work cause of endo i just got a job
>> (Basically how much work did you miss)
>>
>>4) Did you have insurance?yes
>>
>> If so, did you have PPO or HMO? pos my surgery caost over 20,000 i payed 115.00
>>If you had PPO, did you have to pay anything up front (such as a
>>deductible
>>& coinsurance if it had not been met) whether your insurance was
>>in-network
>> or out-of-network?
>>
>>If you had HMO, did you have problems getting the surgery covered if
>>your
>> insurance was out-of-network?
>>If so, did the doctor & his staff help you with your insurance to try to
>> get your surgery covered?
>> If so, did they still make you pay money up front?
>>
>>This is just something to help me greatly decide on if I want to have
>>excision surgery or not. I am contemplating having it done before the
>>end of the year. The only problem I do not know how much time that I
>>might have to miss from work (I have very limited time at my job) & I
>>really do not have alot of money to put down for a down payment. I have
>>PPO insurance, but most of the good doctors who do excision surgery are
>>out of my area (I live in Florida). I have met my deductible &
>>coinsurance for this year with my insurance but that is of course for
>>in-network doctors. But going to the excision surgeon that I want to go
>>to would be out-of-network, which I have not even used any of those
>>benefits with my insurance. I have 5,000.00 out-of-pocket that has not
>>been met & I think either 600.00 or 300.00 deductible that has not been
>>met. Either way I would have to pay quite a bit up front if the doctor
>>makes me pay up front. The last surgeon that I went to to do my
>>laparoscopy almost made me pay up front too, but I weasled my way out of
>>it because I work at a hospital (I was EXTREMELY lucky that time). It
>>is sad that these doctors are making us pay our deductible & coinsurance
>>up front when we have insurance. That is why we have insurance. And
>>many of us who have insurance cannot afford to pay anything up front
>>even though we have insurance. It totally sucks. I spoke with some
>>people at my job asking if I could somehow get a surgeon & hospital out
>>of my area (who would be considered out-of-network) to be in-network
>>with my insurance. I was told that it could be done, but it would
>>probably have to be extenuating circumstances. That one woman that I
>>spoke with said that my problem would not be considered that. That
>>really made me angry. I think having Endo & having all the problems
>>that we have we all need to have the money to be able to go to the best
>>surgeon possible so that our life is bearable. I don't know why someone
>>would say something like that. I guess from what she said it is not
>>worth me calling my insurance or even writing a letter to get an
>>authorization (or referral) from my insurance to make the surgeon &
>>facility that I want to go to participating with my insurance (due to no
>>good surgeons or hospitals in my area) because Endo is not VERY serious
>>at all. I could just punch her out. Well, thanks for letting me vent
>>some. Thanks to all of you that have alreay responded. All your
>>responses helps greatly.
>>
>>--
>>Pamela
>>
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