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Topic: RE: Insurance Denied by Dr Bertha with 2 weeks to surgery date
I'm all about full disclosure. If a doctor takes the Hippocratic oath (and means it) you know where he/she is at. I just want to know what sort of oath they took - it may be better, it may be worse.
Edie
Approved 8-1-11, Surgery 8-22-11 SW 231, Goal 140, CW 165
Topic: RE: Insurance Denied by Dr Bertha with 2 weeks to surgery date
I don't have a problem with a medical professional getting a fair payment for their services, but I do think this doctor should have informed his patients with this insurance that there was a dispute with the insurance company, especially for those patients who would be expected to have their surgery around the time the doc was ready to drop the contract. I don't feel that was ethical behavior and I would complain both to the insurance comissioner and to the state medical society.
Why is it a problem? They make their own oath. Just because they don't use the Hippocratic oath doesn't mean their own oath isn't perhaps better. The Hippocratic oath is for new docs that they swear upon the healing Gods several issues. If they don't believe in multi-healing Gods, wouldn't it be a little weird to say the oath?
The Hippocratic oath also has the doctor swear to the healing Gods that he will not cause abortion and he will not give a lethal drug even if asked. Some believe in abortion and some believe in assisted suicide.
So it's really not that great, I wouldn't take that oath.
On December 14, 2010 at 9:27 AM Pacific Time, windyacres wrote:
Well THAT is not comforting! I think they should post their ethical standards on the walls of their offices so that the patients can decide whether this is someone they want treating themselves or their families. I, for one, would not want to see a physician who felt he/she was unable to promise to at least "try" to do no harm!I don't have a problem with a medical professional getting a fair payment for their services, but I do think this doctor should have informed his patients with this insurance that there was a dispute with the insurance company, especially for those patients who would be expected to have their surgery around the time the doc was ready to drop the contract. I don't feel that was ethical behavior and I would complain both to the insurance comissioner and to the state medical society.
Why is it a problem? They make their own oath. Just because they don't use the Hippocratic oath doesn't mean their own oath isn't perhaps better. The Hippocratic oath is for new docs that they swear upon the healing Gods several issues. If they don't believe in multi-healing Gods, wouldn't it be a little weird to say the oath?
The Hippocratic oath also has the doctor swear to the healing Gods that he will not cause abortion and he will not give a lethal drug even if asked. Some believe in abortion and some believe in assisted suicide.
So it's really not that great, I wouldn't take that oath.
Previously Midwesterngirl
The band got me to goal, the sleeve will keep me there.
See my blog for newbies: http://wasabubblebutt.blogspot.com/
The band got me to goal, the sleeve will keep me there.
See my blog for newbies: http://wasabubblebutt.blogspot.com/
Topic: RE: So upset with my PCP
Not me - I would go see another doctor who will be behind my weight loss plans. No game playing for me!
Edie
Approved 8-1-11, Surgery 8-22-11 SW 231, Goal 140, CW 165
Topic: RE: Insurance Denied by Dr Bertha with 2 weeks to surgery date
Well THAT is not comforting! I think they should post their ethical standards on the walls of their offices so that the patients can decide whether this is someone they want treating themselves or their families. I, for one, would not want to see a physician who felt he/she was unable to promise to at least "try" to do no harm!
I don't have a problem with a medical professional getting a fair payment for their services, but I do think this doctor should have informed his patients with this insurance that there was a dispute with the insurance company, especially for those patients who would be expected to have their surgery around the time the doc was ready to drop the contract. I don't feel that was ethical behavior and I would complain both to the insurance comissioner and to the state medical society.
I don't have a problem with a medical professional getting a fair payment for their services, but I do think this doctor should have informed his patients with this insurance that there was a dispute with the insurance company, especially for those patients who would be expected to have their surgery around the time the doc was ready to drop the contract. I don't feel that was ethical behavior and I would complain both to the insurance comissioner and to the state medical society.
Edie
Approved 8-1-11, Surgery 8-22-11 SW 231, Goal 140, CW 165
(deactivated member)
on 12/13/10 11:18 am - LOUISVILLE, KY
on 12/13/10 11:18 am - LOUISVILLE, KY
Topic: RE: sleeve vsg has anyone had it approved?
Well on this case its not the ins co its my husbands employer.I am appealing through the his union. So this will be very interesting.....Thanks
Topic: RE: denial from cigna?
OMG. I finally got my approval a week ago....It took me 3 weeks to get the approval--and then I find out it as the WRONG approval. Cigna said my hospital was "out-of-network." I've been waiting since November 9. I've been going thru all of this since the end of April! I've done EVERYTHING Cigna wanted me to do. The sleep studies, the pulminary tests, the bloodwork, ultrasounds, the 6 months diet and excercise, the psych evaluation....This is insane! I just don't understand how I could hold up my end of the bargain...and them **** on my heart!
Ummm according to their website AND when I got my pre-approval, everything was all set!
Today I spoke with my insurance coordinator (I was in Vegas when I got the letter saying that it was out-of-network this weekend) and she said she'd handle it.
She called me after having it fixed, but it makes me a little nervous since it's not in writing. I was supposed to pay what was left of my admin fee, my optifast, and get my date today, but I want to know FOR SURE what to expect.
We'll see....
good luck to you!
Ummm according to their website AND when I got my pre-approval, everything was all set!
Today I spoke with my insurance coordinator (I was in Vegas when I got the letter saying that it was out-of-network this weekend) and she said she'd handle it.
She called me after having it fixed, but it makes me a little nervous since it's not in writing. I was supposed to pay what was left of my admin fee, my optifast, and get my date today, but I want to know FOR SURE what to expect.
We'll see....
good luck to you!
Famous last words:
They say that the journey of 1000 miles begin with a single step, but the truth really is that the journey of like a million miles begin with a foot on the scale...--me.
View my website!
www.justxnikki.webs.com
They say that the journey of 1000 miles begin with a single step, but the truth really is that the journey of like a million miles begin with a foot on the scale...--me.
View my website!
www.justxnikki.webs.com Topic: RE: denial from cigna?
Hey girl, I feel for you because I am in the same situation. I waited over a week just to get denied by Cigna. Keep your head up though and keep the faith that this isnt the final answer. I will keep you in my prayers as we make our way through this temporary situation and end up on the loser's bench.
Topic: RE: sleeve vsg has anyone had it approved?
Wow...
I have never heard of an ins co paying for WLS when they were not paid the premiums.
Crossing fingers for you!
On December 13, 2010 at 1:51 PM Pacific Time, LOVELAUGHLIVE wrote:
To Bubblebutt, Yes my ins excludes it.I know they not cover it,thats why I'm appealing it, because they did give me an alternative to a new program that will be offered through their ins, and I would be the first to know about. You never really know what will will happen, but the union rep I talked to thats handling thinks it may go through.You never know I've heard of exclusions getting turned over(not many),but its would worth the wait. Thanks for your comment.Wow...
I have never heard of an ins co paying for WLS when they were not paid the premiums.
Crossing fingers for you!
Previously Midwesterngirl
The band got me to goal, the sleeve will keep me there.
See my blog for newbies: http://wasabubblebutt.blogspot.com/
The band got me to goal, the sleeve will keep me there.
See my blog for newbies: http://wasabubblebutt.blogspot.com/
(deactivated member)
on 12/13/10 5:51 am - LOUISVILLE, KY
on 12/13/10 5:51 am - LOUISVILLE, KY
Topic: RE: sleeve vsg has anyone had it approved?
To Bubblebutt, Yes my ins excludes it.I know they not cover it,thats why I'm appealing it, because they did give me an alternative to a new program that will be offered through their ins, and I would be the first to know about. You never really know what will will happen, but the union rep I talked to thats handling thinks it may go through.You never know I've heard of exclusions getting turned over(not many),but its would worth the wait. Thanks for your comment.
Topic: RE: Your surgery out-of-pocket costs after insurance
Yeah, I think you're right. I almost got BCBS but I noticed that they have a lot of little things that you have to watch out for.
I worked for a company that got bought out by UHC so I am a little jaded! I'm sending my information to the insurance coordinator at the surgeons office so she can give me some idea of what I will have to come up with.
I worked for a company that got bought out by UHC so I am a little jaded! I'm sending my information to the insurance coordinator at the surgeons office so she can give me some idea of what I will have to come up with.
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