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Re: ?????? please tell me what you all think?????????
From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sat, 18 Nov 2000 01:02:04 -0600 (CST)
Many state and federally funded programs will nto pay for tubals if you
are < 21 years old. In any event, if you have significant heath
problems where another pregnancy would place your healthy in jeopardy,
you should be able to choose a tubal, as long as you are aware it meand
no more kids, ever. You need to speak with the doctor, not the nurse.
At Fri, 17 Nov 2000, Michelle wrote:
>
>hi, well heres the deal, in 9 days im having surgery..c-section, hernia
>repair, and was suppose to have tubal all at same time. Do to my health
>problems and problems that can arsie and cause more pain,stress, and
>possible more surgeries, any more pregnancies is putting my self at
>risk, and i also have 2 children well this is my 2nd and im married and
>have no need for anymore but thats not the main reason for the tubal. Ok
>well, 6 or so weeks ago all this was dicussed with my obgyn and im only
>19 and he didnt want to do it but agreed because of my circumstances
>with my health, well, all was set for go..everything, and 2 weeks ago i
>signed the paperwork for it to be done, and they were telling me, not
>the dr his nurse, telling me that she would call medicaid my insurance
>to see if theres another form since im under 21, well she said also that
>it doesnt matter the paper i signed is giving permission to my dr to do
>the tubal, an dif medicaid didnt pay in the end they would just write it
>off and get re-embursed at the end of the year. Ok so everything set,
>well yesturday at the dr, 6 business days, b4 the surgery they tell me,
>well medicaid wont pay, we cant do it, then i start asking why and
>telling them medicaid will pay, and the nurse chages it around saying
>its nothing to do with insurance at all its my dr, and its unethical her
>words, to do it on me my age, yet my dr all along tells me he will, and
>they wait to tell me all this 6 business days b4 the surgery so that i
>have no time to find another dr and get htis dealt with in time, i
>wanted this all done in 1 surgery, convenience for me yes, because ill
>be going home to 2 small babies and having to recover from teh csec and
>hernia surgery, also i have to heart procedures being done after the
>baby that i have to recover from, so now i have all this stress figuring
>out if i canget this done when i go in, same time ya know, i go back for
>my last appt to my ob next week wendsday, im going to start top to
>bottom with him and find out why i was lied to and given the run around
>and hope he sees my point and goes ahead and does it because he alreayd
>told me he would. And its not an insurance thing at all, because the
>nurse first tried to tell me ( the lady who does all the scheduling and
>paperwork for stuff) tried saying it was medicaid then i obviously
>something unexpected from her told her im covered under my husbands
>insurance also, and i would just pay the 250 copay i owuld have to pay
>and they would cover it, then she follows with its not an issue about
>insurance because they could write it off, its my dr as a surgeon thinks
>its unethical, and when i try telling her what the dr told me, she just
>keeps saying well im not arguing with you, is there anything i should
>also mention to teh dr when i go back to help my chance of having this
>donw now, i dont want so many surgeries to recover from im sure you can
>see my point of view, and since i will already be cut open why not clip
>them and tie them then instead of making life harder on me by goinbg
>thru yet another surgery when it can be done the same time as my
>csection and hernia repair, those 2 surgeries are both being done same
>time, also the tubal was suppose to , now i have signed the paperwork
>for it, now its like they are being indian giveres trying to take it all
>back, im not getting clear answers from them, im sorry so long but i
>tried explaining as much and as least as i could for you to understand
>my situation. please give me any insight you might have. thankyou,
>michelle
--
M. Kelly Shanahan, MD, FACOG
South Lake Tahoe, CA
This information is for educational purposes only and does not construe a doctor-patient relationship. It does not replace the need for you to consult your own doctor.
***private e-mails will be deleted without reading. Please respect my family time
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