Guest guest Posted July 14, 2004 Report Share Posted July 14, 2004 Steve, Not sure who your carrier is, but, for one example of what you'll need to file a stateside claim after a Belgian resurf, check out a post of June 26, this year. Subject line: Re:Whoo-hoo to Jim--CIGNA paid for 75%. The Poster is " Jim V.S " . I made a copy of the post for myself, since I'm also a CIGNA PPO subscriber. Good Luck. Alan > I need to post in. I too contacted Dr. DeSmet last Friday and asked > if I could get a date in Mid. Sept. I explained I needed to get him > my x-rays but wanted to get penciled in. Two Hours later the man > himself wrote back and asked how about Sept. 8, 28, or 29 sound? He > then wrote, " Cheers " > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2004 Report Share Posted July 14, 2004 Steve, Not sure who your carrier is, but, for one example of what you'll need to file a stateside claim after a Belgian resurf, check out a post of June 26, this year. Subject line: Re:Whoo-hoo to Jim--CIGNA paid for 75%. The Poster is " Jim V.S " . I made a copy of the post for myself, since I'm also a CIGNA PPO subscriber. Good Luck. Alan > I need to post in. I too contacted Dr. DeSmet last Friday and asked > if I could get a date in Mid. Sept. I explained I needed to get him > my x-rays but wanted to get penciled in. Two Hours later the man > himself wrote back and asked how about Sept. 8, 28, or 29 sound? He > then wrote, " Cheers " > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2004 Report Share Posted July 14, 2004 Thanks Alan for the info on insurance, now won't you join me in Belgium in late September? How did you digitize your x-rays and were they ok for Dr. De Smet? > > I need to post in. I too contacted Dr. DeSmet last Friday and > asked > > if I could get a date in Mid. Sept. I explained I needed to get > him > > my x-rays but wanted to get penciled in. Two Hours later the man > > himself wrote back and asked how about Sept. 8, 28, or 29 sound? > He > > then wrote, " Cheers " > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 Mark... I wish it were a matter of my choosing the date. I'm still waiting for CIGNA to me what they'll pay for, or not. Dr. de Smet says, from the time we agree he'll do the surgery, there's a waiting period of about two and a half months, so I'm right at the end of the window for a late Sept. Belgian resurf. But...nothing goes in a straight line. I'll let you know what happens. All the best, Alan > Hi Alan, > I am booked for Tuesday the 28th. I'll check into the hospital Monday the 27th around 1400. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 Mark... I wish it were a matter of my choosing the date. I'm still waiting for CIGNA to me what they'll pay for, or not. Dr. de Smet says, from the time we agree he'll do the surgery, there's a waiting period of about two and a half months, so I'm right at the end of the window for a late Sept. Belgian resurf. But...nothing goes in a straight line. I'll let you know what happens. All the best, Alan > Hi Alan, > I am booked for Tuesday the 28th. I'll check into the hospital Monday the 27th around 1400. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 Alan, Thanks for the information on x-rays. I am going to try and do this in next day or two. Steve > > Hi Alan, > > I am booked for Tuesday the 28th. I'll check into the hospital > Monday the 27th around 1400. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 Alan, Thanks for the information on x-rays. I am going to try and do this in next day or two. Steve > > Hi Alan, > > I am booked for Tuesday the 28th. I'll check into the hospital > Monday the 27th around 1400. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2004 Report Share Posted July 16, 2004 I agree with your thinking - if you don't get a penny back, it will be the best money you ever spend ......this is from someone who washes and reuses zip lock bags!! I would say best of luck, but with Dr. DeSmet, you can save up your luck for something else - he is dear and amazing. Also, Dr. Mont recommened a THR for me a year ago - said if I insisted on resurfacing - after it is cleared with the FDA - he would do 2 operations - one to graft bone and the next to do the resurfacing. From what I could gather, Dr. DeSmet spent 5 minutes longer with me than my hippy siblings (i.e. 55 minutes!), and I couldn't be happier. bev BHR DeSmet 2/19/03 > I need to post in. I too contacted Dr. DeSmet last Friday and asked > if I could get a date in Mid. Sept. I explained I needed to get him > my x-rays but wanted to get penciled in. Two Hours later the man > himself wrote back and asked how about Sept. 8, 28, or 29 sound? He > then wrote, " Cheers " > > It looks like the 28th or 29th for me. I need to get x-rays from Dr. > Mont and send them to DeSmet. Nothing against Dr. Mont. He will > continue to be my local OS, however, I just figure its not worth > fighting the insurance company over and over again. It seems like > everyday that is all I think about. I need to turn the page and get > this thing done. Yes, I am appealing their denials but am headed to > Belgium where I am almost 100% sure I will be getting the resurfacing > without the chance of a THR when I awake. > > I am very much interested in the recent post who said they got back > 100% from their insurance. I was thinking 50 -75% if lucky and if I > did not get anything back I would still be happy because I would have > my new hip and be able to enjoy my Holidays this year with my two > children agaes 3 & 1. How did you request reimburs? Did you let > insurance company know you were going to Belgium before you went? > > Also, does insurance pay for physical therapy when you get back to US? > > Anyone else heading in Late September, let me know. > > Steve Quote Link to comment Share on other sites More sharing options...
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