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Re: Advice about going to the CEC in Atlanta?
From: Amber (anonymous@obgyn.net)
Thu Sep 7 10:32:24 2006
I just called and talked to the CEC about their rate without insurance,
they said they would normally work with you on their fees, but the
hospital bill could be between $10,000-$12,000
At Thu, 7 Sep 2006, Myriam wrote:
>
>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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