Guest guest Posted February 24, 2005 Report Share Posted February 24, 2005 I recently saw an oral surgeon, Dr. Riley (in Palo Alto), and am considering having upper jaw surgery to correct my openbite/crossbite/class III. I finally decided to go ahead with orthodontics, but I have to say, Dr. Riley's office has not been terribly helpful here. I called them and they wouldn't really give me any information and told me to call my insurance company; they are not in any insurance network. I have coverage through a large company with BlueCross (in their PPO plan). I asked Dr. Riley's office if they could give me an estimate but they said they don't deal with insurance companies, plans, etc...although I'm SURE they must have had another patient who had BlueCross PPO. All I want to know is what I will be required to pay, out of pocket, for this surgery. I have called BlueCross and they are almost entirely clueless---plus all I can tell them is that I would be having orthognathic surgery of my upper jaw. They told me to call the doctor, but the doctor tells me to call the insurance company. When I asked about the hospital fee, the person I spoke with at Dr. Riley's office told me to call the hospital. I mean this is really ridiculous that there is apparently 0 coordination here. Dr. Riley (when I met with him) indicated that the gross fees for this surgery, including his fee + hospital fee, would most likely be upwards of $50,000 as the hospital fee is $30,000 per day. (ridiculous, in my opinion). If I have this surgery and am stuck with a $50,000 bill, I will not be thrilled nor financially capable of paying it. Is there some way to streamline this process to find out (a) if the insurance company will cover anything, ( what they will cover, © what an approximate out of pocket cost is? It would be really helpful if anyone from this area (Bay Area, California) has gone through this with BlueCross PPO. Thanks so much, Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.