Author Topic: Called hospital to see what they bill my insurance comp.  (Read 2220 times)

mikjul1

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Called hospital to see what they bill my insurance comp.
« on: April 27, 2009, 09:23:48 am »
A whooping $9,528.10  :o wow, I hope they do not deny it. Thats just the surgery.  :o
« Last Edit: April 27, 2009, 09:26:08 am by mikjul1 »
:) BORN IN THE GOOD OLD USA :)
SSD on right side since 1974
BAHA surgery on 4/21/09 Dr. Carla Lawson
BP100 turn on date 8/13/09

nteeman

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Re: Called hospital to see what they bill my insurance comp.
« Reply #1 on: April 27, 2009, 09:33:01 am »
A whooping $9,528.10  :o wow, I hope they do not deny it. Thats just the surgery.  :o


Usually the hospital gets an approval before surgery.

Neal
Diagnosed 12/16/2008
AN 2.4 X 2.0 X 1.6 CM
surgery performed on 1/27/2009 Mt. Sinai Hospital, NYC
Dr.Bederson & Dr. Smouha
9:30am thru 5:50pm
http://www.facebook.com/neal.teeman

mikjul1

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Re: Called hospital to see what they bill my insurance comp.
« Reply #2 on: April 27, 2009, 09:52:04 am »
Thats true but I heard sometimes insurance companies say they preapprove it then deny it. Thanks Neal.
:) BORN IN THE GOOD OLD USA :)
SSD on right side since 1974
BAHA surgery on 4/21/09 Dr. Carla Lawson
BP100 turn on date 8/13/09

leapyrtwins

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Re: Called hospital to see what they bill my insurance comp.
« Reply #3 on: April 27, 2009, 11:54:10 am »
I realize it's no competition, but my BAHA surgery cost much more than that.  I think it was about $64,000 all told with the doctor, the hospital, and the Divino - I didn't even use the services of an anesthesiologist!  :o

Thankfully my insurance company paid the entire bill.  I have a $400 deductible, but had already paid that for my 1st annual MRI.

If you pre-certified with your insurance company, they should pay it.  They like to put disclaimers in their coverage letters so you can't hold them to anything.  Some times I think all the insurance companies are run by lawyers  :D

Jan
Retrosig 5/31/07 Drs. Battista & Kazan (Hinsdale, Illinois)
Left AN 3.0 cm (1.5 cm @ diagnosis 6 wks prior) SSD. BAHA implant 3/4/08 (Dr. Battista) Divino 6/4/08  BP100 4/2010 BAHA 5 8/2015

I don't actually "make" trouble..just kind of attract it, fine tune it, and apply it in new and exciting ways

Kathy M

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Re: Called hospital to see what they bill my insurance comp.
« Reply #4 on: April 27, 2009, 01:03:32 pm »
I've had quite the run around with my insurance company a few times since the first surgery.  Pre-approval was required and obtained...however, they initially denied the bill for a reason I don't remember.  We appealed and it went through with no problem.  I think sometimes they hope that people don't read the stuff they send out in the mail so they can get out of paying claims. 

Mine was even messier than I anticipated partly because the neurosurgeon was "out of network" and the neurotoligist was "in network".  Just a mess.  But so far, even with all of this, I haven't had to pay a dime (I'm also covered on my husband's insurance).  So, read what they send you and don't panic if they deny something at first.  You could still get it resolved through an appeal.  A pain, but it is worth pursuing!

Kathy
AN diagnosed 11/14/08, 3+cm, Retrosigmoid 1/13/09, Univ. Hosp., Cincinnati, Drs. Tew and Pensak
no facial nerve or eye issues!
3 more surgeries related to staph infections & osteomylitis over next 13 months.  New diagnosis of breast cancer.  Treatment completed 08/27/10.  Moving on!!!

mikjul1

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Re: Called hospital to see what they bill my insurance comp.
« Reply #5 on: April 27, 2009, 02:23:06 pm »
There was no denile just wanted to know what it cost.  ;D
:) BORN IN THE GOOD OLD USA :)
SSD on right side since 1974
BAHA surgery on 4/21/09 Dr. Carla Lawson
BP100 turn on date 8/13/09