Re: Advice about going to the CEC in Atlanta?
From: Myriam (anonymous@obgyn.net)
Thu Sep 7 08:33:39 2006
Barbara,
Did you contact the CEC already? reading your post it seems like the CEC
already told you that your insurance wouldn't cover this surgery. Am I
understanding well? In any case, I would call your insurance directly
and ask for the manager. See why they do not cover this surgery, if it
is because your plan doesn't cover it, or because of the location,
etc... If it is Dr related, then I would ask why they do not want these
Drs. It doesn't make sense to me, but if so, you have plenty of
references given by the CEC and previous patients, as well as the fact
that the center is recognized worldwide for their endo approach.
About the surgery schedule, mine was "delayed" in purpose. I was still
on the lupron (given by my former gyn) when I contact them, and Dr S
told me to wait until the lupron effects were completely gone to be sure
that no endo "patches" would be hidingaround (about 3 months after the
last injection date), hence for me mid September. I recalled seeing
people contacting them and having the surgery scheduled 2-3 weeks after
the first contact. So, I believe the dates are pretty much open, and
you can give yourself as much time that you need to prepare everything.
Hope this will help!
Best to you,
--
Myriam
At Wed, 6 Sep 2006, Barbara wrote:
>
>Myriam,
>
>Thank you for the information, that is very helpful. I am getting
>everything ready to fax into the CEC tomorrow, so I may know more after
>that. They mentioned in the info that they sent out that my insurance
>(TRICARE) has chosen not to work with them even as an out of network
>provider, so I wonder how that will affect my costs. I'll call TRICARE
>once I see what the DRs at the CEC are recommending. Also, can you tell
>me how long it takes to get on the surgery schedule once they agree to
>see you? I must plan this out with my boss, so I just wondered how that
>part will work.
>
>Thanks again,
>Barbara
>At Wed, 6 Sep 2006, Myriam wrote:
>>
>>Barbara,
>>
>>It really depend on your insurance. I am scheduled for surgery next
>>week with the CEC (Dr S.) and because my insurance considere this
>>surgery to be out of network, AND because my plan says when out of
>>network I will pay $400.00 deductible, and then 10% of the surgery with
>>a max of 3000.00 out of pocket , then MY max (not yours or anyone
>>else...) will be total max 3400.00 out of pocket. These prices are
>>"imposed" by my insurance itself... I will pay half at the surgery and
>>half when the bill comes in. The Drs fees are included. So the CEC
>>does work with your insurance in any case before the surgery is even
>>scheduled. Just include your card info (copy of it) with your med
>>records for evaluation. I do not know if Dr A does the same thing, but
>>I do believe so.
>>
>>Hope this will help,
>>
>>M
>>
>>At Wed, 6 Sep 2006, Barbara wrote:
>>>
>>>Elisa,
>>>Thanks so much for your post, do you happen to know if the $2500 is the
>>>full cost or just a portion? I'm just trying to compare my options and
>>>figure out what to do, so thanks for your help.
>>>
>>>take care,
>>>Barbara
>>>
>>>At Tue, 5 Sep 2006, Elisa wrote:
>>>>
>>>>Hi Barbara~
>>>>
>>>>Sorry you are going to loose your Dr. that you like so much. I don't
>>>>have any experience with the CEC but have seen many posts on this site
>>>>about it. I believe, and someone please correct me if I am wrong so I
>>>>don't scare poor Barbara..but I believe it cost approx. $2,500.00
>>>>upfront for Dr. Albee? That was a reduced amount compared to the
>>>>Nezhat's in Atlanta now charging $6,000.00 which blows my mind as they
>>>>are not filing insurance either.
>>>>
>>>>I am sure someone else will have more info on this one. I hope this
>>>>helps.
>>>>
>>>>Have a good night.
>>>>
>>>>--
>>>>Elisa
>>>>
>>>>At Tue, 5 Sep 2006, Barbara wrote:
>>>>>
>>>>>Hello ladies, I hope you are all doing well. I am writing because I
>>>>>just learned on Friday that my regular OB/Gyn is leaving town for good
>>>>>in a couple of weeks. I will miss him, but I"m also upset that I now
>>>>>must find a good endo Dr that can perform an excision lap for me soon. I
>>>>>have been contemplating getting evaluated by the CEC for surgery there
>>>>>in Atlanta. I am worried about how much it will cost since the info
>>>>>they sent me said my insurance company will not deal with them even as
>>>>>an out of network provider. I am also concerned since it is so far away
>>>>>(I'm in El Paso TX)and I just wonder if it is worth spending lots of
>>>>>money, time off of work, plane tickets etc...or am I better off trying
>>>>>to dig someone up that's closer? I'd appreciate any feedback any of you
>>>>>could share that might make my decision easier. I am afraid that there
>>>>>aren't any endo specialists out here at all, least of all a good
>>>>>surgeon, so I am trying to weigh the options. Thank you all and best
>>>>>wishes for pain free days!
>>>>>
>>>>>Barbara
>>>>>
>>>>>--
>>>>>Barbara Clowser
>>>>>
>>>--
>>>Barbara Clowser
>>>
>--
>Barbara Clowser
>
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