Re: Advice about going to the CEC in Atlanta?
From: Barbara (anonymous@obgyn.net)
Fri Sep 8 14:19:45 2006
Amber,
I faxed them my packet today and was told that I would hear back
sometime early next week. The person who would be able to answer my
insurance etc questions is out until Monday, but when I learn anything
I'll be sure to let you know. $20K is way way out of my reach
too...here I was trying to figure out how I could pull off $10K somehow,
but if it's way more than that there is just no possibility for me to go
there. Even the $5-10K would be tough for me. I'll keep a positive
outlook though and pray that it will work out.
take care,
Barbara
At Fri, 8 Sep 2006, Amber wrote:
>
>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
>>
--
Barbara Clowser
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