Re: Advice about going to the CEC in Atlanta?
From: Barbara (anonymous@obgyn.net)
Thu Sep 7 15:45:16 2006
Amber,
Oh my, so you are saying that the hospital portion alone may be $10-12K
on top of whatever the CEC charges? That is tough to swallow knowing
that my insurance company won't work with them even as out-of-network. I
appreciate the information, I'll be in touch with them too and will let
you know what I hear.
take care,
Barbara
At Thu, 7 Sep 2006, Amber wrote:
>
>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
>>>
--
Barbara Clowser
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