Guest guest Posted January 23, 2004 Report Share Posted January 23, 2004 I have 2 questions, but first......... I saw my surgeon, got the pre-op tests, got my psychological and was approved by my insurance company. On Wednesday morning, I was given a 1/28 surgery date. Needless to say, there was unprecidented whooping and hollering around here. Then yesterday, I got a call that my doctor now refuses to do surgery at the hospital I was approved for, (don't know why) and the insurance will not pay for anything if the surgery is done at the hospital that is across the street. I went from a date a week away to basically starting over, all in 24 hours. I have 2 options...to switch surgeons to one who operates at an " in network " hospital...OR....appeal to the insurance company to allow me to go to the other hospital. Question 1. Have any of you ever been approved for the surgery, but denied because of the hospital? If so, how long did it take to appeal the matter, and did you succeed. Question 2. Do any of you know of a good surgeon in the central Florida area? I live in Palm Coast, but would go to ville, Orlando, Daytona, etc........Anywhere where the surgeon is good and I can use this operation approval before it is outdated and I have to start over with everything. Thanks for any advice you can give me.....I am SO disappointed!!!! Cindy Mother of Many Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2004 Report Share Posted January 23, 2004 I have 2 questions, but first......... I saw my surgeon, got the pre-op tests, got my psychological and was approved by my insurance company. On Wednesday morning, I was given a 1/28 surgery date. Needless to say, there was unprecidented whooping and hollering around here. Then yesterday, I got a call that my doctor now refuses to do surgery at the hospital I was approved for, (don't know why) and the insurance will not pay for anything if the surgery is done at the hospital that is across the street. I went from a date a week away to basically starting over, all in 24 hours. I have 2 options...to switch surgeons to one who operates at an " in network " hospital...OR....appeal to the insurance company to allow me to go to the other hospital. Question 1. Have any of you ever been approved for the surgery, but denied because of the hospital? If so, how long did it take to appeal the matter, and did you succeed. Question 2. Do any of you know of a good surgeon in the central Florida area? I live in Palm Coast, but would go to ville, Orlando, Daytona, etc........Anywhere where the surgeon is good and I can use this operation approval before it is outdated and I have to start over with everything. Thanks for any advice you can give me.....I am SO disappointed!!!! Cindy Mother of Many Quote Link to comment Share on other sites More sharing options...
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