Guest guest Posted November 22, 2000 Report Share Posted November 22, 2000 Hi Everyone: Attention: Margaret, Carla and all December pre-ops ! I talked with my insurance yesterday(Aetna).. There are three other anesthesiologists in the area that are under the in-network agreement. So, call your insurance and ask for anestialogists in that area in-network.. She also said that the anesthesiologists are under the hospitals umbrella of in-network. She said because the hospital is in-network they will pay the customary 90%. She did say that I would be responsible for the 10% of the negotiated charges unless Durham Anest. fought the in-network thing. Since they do not have a direct agreement to take the negotiated price for services. Also, she said that I SHOULD GO ELSEWHERE IF POSSIBLE! Elsewhere for anesthesia that is.. So she guided me to the webpage that gives their names and phone numbers. I also talked with Barbara at Dr. R. office. She said that as far as she knew Durham Anest. was the only ones in the area so that is all they used, but that if there were others, that it should be fine... I will email Dr. R. for a confirmation of this today.. I do not know about ya'll, I am BROKE but I must have this before Dec. 31 because my insurance is changing on Jan. 1, 2001. So, I really do not know what I will do... There is some serious prayer for guidance going on in my house... I am going to rant now.... I have had this surgery scheduled over 3 weeks now.. I scheduled it 6 weeks out (12/15/2000)so I could come up with the $1255.00. This $1255.00 is already cutting my children's Christmas down almost to nothing.. So, I do not have anymore to get. I have squeezed the proverbial turnip all that I can squeeze. I do not know now what to do.. I will not borrow from anyone, I do not have it, I do not have a credit card with $910.00 on it.. So any great words of wisdom out there?? I do know that I will try to find another Anest. today and if not, I will do think about it til Friday and then I will do whatever I must do. I will have some kind of WLS before 12/31/00. Thanks for listening, in GA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 22, 2000 Report Share Posted November 22, 2000 I love the expressions, " Whenever a door closes, a window opens " but I like to add, " but the hallways are hell " . LOL...My wish for you this Thanksgiving is that you will be able to work this out in a way that is positive for you. I just hate last minute monkey wrenches and understand that you are discouraged about this! Flo in land > ** Original Subject: RE: INSURANCE WOES?? > ** > > ** Original Date: Wed, 22 Nov 2000 06:54:46 -0700 > ** Original Message follows... > > Hi Everyone: > Attention: Margaret, Carla and all December pre-ops ! > I talked with my insurance yesterday(Aetna).. There are three other > anesthesiologists in the area that are under the in-network agreement. > So, call your insurance and ask for anestialogists in that area > in-network.. > She also said that the anesthesiologists are under the hospitals > umbrella of in-network. She said because the hospital is in-network they > will pay the customary 90%. She did say that I would be responsible for > the 10% of the negotiated charges unless Durham Anest. fought the > in-network thing. Since they do not have a direct agreement to take the > negotiated price for services. Also, she said that I SHOULD GO ELSEWHERE > IF POSSIBLE! > Elsewhere for anesthesia that is.. So she guided me to the webpage that > gives their names and phone numbers. > I also talked with Barbara at Dr. R. office. She said that as far as she > knew Durham Anest. was the only ones in the area so that is all they > used, but that if there were others, that it should be fine... I will > email Dr. R. for a confirmation of this today.. > I do not know about ya'll, I am BROKE but I must have this before Dec. > 31 because my insurance is changing on Jan. 1, 2001. So, I really do not > know what I will do... There is some serious prayer for guidance going > on in my house... > I am going to rant now.... > I have had this surgery scheduled over 3 weeks now.. I scheduled it 6 > weeks out (12/15/2000)so I could come up with the $1255.00. This > $1255.00 is already cutting my children's Christmas down almost to > nothing.. So, I do not have anymore to get. I have squeezed the > proverbial turnip all that I can squeeze. I do not know now what to do.. > I will not borrow from anyone, I do not have it, I do not have a credit > card with $910.00 on it.. So any great words of wisdom out there?? > I do know that I will try to find another Anest. today and if not, I > will do think about it til Friday and then I will do whatever I must > do. I will have some kind of WLS before 12/31/00. > Thanks for listening, > in GA > > > Quote Link to comment Share on other sites More sharing options...
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