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Re: Advice about going to the CEC in Atlanta?
From: Amber (anonymous@obgyn.net)
Fri Sep 8 07:22:37 2006
Yes that is what they said, plus you have to consider the
anthetesologist, and medications and travel expenses. It would be over
$20,000 at least I would think. That is way more than I can afford,
financing $5000 or $6000 is one thing but not 4 times that. Let me know
if you find anything else out. Thanks
At Thu, 7 Sep 2006, Barbara wrote:
>
>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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