The Ups and Downs!

Jan 25, 2010

I've been walking on cloud nine since I got the call about my surgery date, then.......

I got a call today from the billing office at the hospital where I'm having my surgery.  They told me that they don't trust my insurance to pay them, so I have to either cancel my surgery or pay $5000 up front!

I was denied by my primary insurance because they feel the VSG is "investigational".  Then my secondary insurance approved me.  Everything is set to go, when the hospital called my secondary insurance and they were told that if my primary insurance turned me down because of medical necessity that they would also turn me down - even after they approved me.  Well, I tried explaining to the woman at the hospital that I wasn't turned down because of medical necessity.  She told me they weren't willing to take the chance.

I called the insurance and they assured me that they would pay for it.  But, I still have to layout $5000 up front and wait to be reimbursed.   AAAAARRRRRGGGGG!!!!!!

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