Thursday, February 17, 2011

Whoooooo!

Whooooo!  Big sigh of relief.  $6000?!?!?!   Not any more!  I just got online and checked the insurance claim and all of it was paid except $30!  Now that is better.  After reviewing it I realized more so why doctors charge so much!  Out of that charge over $4000 was discounted through the in network agreement.  That is over half that he lost!  Geez.

So....March 1st is the big change over day.  Had an issue with my incision and while it is still open...it is not as open as it was...so I had to wait a little longer to exercise and stuff.  Well--March 1st is it.  Time to get busy with getting fit!  I have a weight goal in my head and maybe one day soon I will post it on here.  My short term goal is to get out there moving and find a video that I like to do on the other days.  That gives me almost 3 months til we fly til Texas for James' friends wedding to get into a dress that I love and feel more comfortable with how I look.

Any suggestions as to what dvd to work with?  Any advice for weight loss/getting fit?  What did you do?

Monday, February 7, 2011

Beyond Frustrated!!!!!

INSURANCE COMPANIES.....does that say enough?  ARGH!!!!

So....I checked on the status of my claims online for my surgery. Why is is that EVERYTHING (except $50 for the hospital) was covered except for the surgeon?  REALLY?  SERIOUSLY?  Ummm....excuse me insurance company you gave me a pre-authorization!  Online it is listed that they are not affiliated with the doctor but ummmm...YES YOU ARE!  You paid for my pre surgery appts.....and you have a contract with the doctor......and he is listed online.  So...I spent about  an hour on the phone with them and even the woman who investigated it was stumped.  She forwarded it to the adjusters with notes and said that I would be hearing from her within 14 business days.  I then called the doctors office and they were stumped to.  They are going to contact their contact to see about it.  So here is the breakdown of costs:


$7608.80     Outpatient surgical center
$1680.20     Anesthisiologist
$ 888.00      Oncologist to review stuff they took out
$6000.00     Surgeon expenses

TOTAL:  $16,177

That is a crazy high number!!! 

I have faith that they will get that bill fixed....especially since everyone is stumped why they denied it.  Hopefully it was that the person just hit the wrong button. 

Anyway--hope you are doing well!

Jen