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Re: INFORMATION ABOUT THE CEC IN ATLANTA!!!
From: kelly (anonymous@obgyn.net)
Thu Sep 7 19:09:03 2006
thanks Pamela for sharing your information. I live in Atlanta and was
currently looking for a place to go. I had a bad experience with my
insurance a few weeks ago, and have been seeking another specialist
(since I could not pay $6,000 upfront). I too have United PPO, so your
information is very helpful. Thanks so very much! Kelly
At Wed, 6 Sep 2006, PAMELA wrote:
>
>Just some info on the CEC from my experience,
>
>I too am in the process of having surgery with Dr. Sinervo at the CEC
>in Atlanta. I am still in the process of sending my medical records to
>them to schedule a consult & hopefully excision surgery before the end
>of the year. I have been in touch quite a bit with Heather & Muriel
>there & they are extremely nice. I guess I am lucky because my
>insurance (United PPO) is in-network with the hospital but
>out-of-network with Dr. Sinervo & Dr. Albee. I have done quite a bit
>of research on the internet & I have found that if that is the case your
>insurance could actually turn tables on you & make the hospital where
>the surgery is being done out-of-network too if they want to if the
>doctor is out-of-network with them (even if you set up an agreement to
>pay the doctor on the side since he is the only one out-of-network). So,
>after working with Heather & Muriel at the CEC I am in the process of
>trying to get a referral from my primary care doctor here in Florida for
>Dr. Sinervo. I was told that my PCP needs to write a letter to my
>insurance explaining that there are no surgeons in my area that do
>excision surgery & send to my insurance & with that I can get a referral
>or authorization from my insurance to have both the doctor & surgery
>covered as in-network. Of course, I might have to get involved too. I
>am working on this right now, so if anyone wants to know actually what
>happens I will let them know. Just let me know. Now, the CEC told me
>that if this is out-of-network (that is provided you have insurance) you
>have to pay your deductible up front along with approx half of your out
>of pocket. But, I am sure that they will work with you. They seem very
>nice & helpful there (at least everyone that I have spoke with lately).
>
>Thanks,
>Pamela
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