Guest guest Posted September 2, 2005 Report Share Posted September 2, 2005 Hi, my fiancee needs orthognathic surgery. SHe's been in braces for almost a year while we're dealing with insurance issues. We have been working with an out-of-network surgeon (first mistake) for a while now, and we recently had the procedure preapproved by the insurance company. However, for a $16k surgery (not including hospital fees--that's only the surgeon fees for both jaws), the insurance is happy to pay a whopping $2.5k. They said they're using the " Medicare fee guidelines " to get those numbers, and that " they have no control over those numbers " . The surgeon isn't interested in negotiation or meeting in the middle, or anything, so we're trying to switch to an in-network surgeon in the University of North Carolina, Chapel Hill hospital, hopefully for better coverage and insurance support from the surgeon's office. Does anyone have any experiences like this? How did it go? Thanks! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 2, 2005 Report Share Posted September 2, 2005 I posted this earlier, but in case you did not see it. There is a surgeon there that did a friend's daughter's surgery. They really like him. His name is Dr. Turvey or something similar. He is at UNC and he does good work. She is also in a study, so she documents her recovery and they pay her for that (I think $75. a booklet). I would go, but they do not take my insurance. I am in NC, but I have a surgeon in Goldsboro. I will get the number if you like. Let me know. Rene` > Hi, my fiancee needs orthognathic surgery. SHe's been in braces for > almost a year while we're dealing with insurance issues. We have been > working with an out-of-network surgeon (first mistake) for a while > now, and we recently had the procedure preapproved by the insurance > company. However, for a $16k surgery (not including hospital > fees--that's only the surgeon fees for both jaws), the insurance is > happy to pay a whopping $2.5k. They said they're using the " Medicare > fee guidelines " to get those numbers, and that " they have no control > over those numbers " . The surgeon isn't interested in negotiation or > meeting in the middle, or anything, so we're trying to switch to an > in-network surgeon in the University of North Carolina, Chapel Hill > hospital, hopefully for better coverage and insurance support from the > surgeon's office. > > Does anyone have any experiences like this? How did it go? > > Thanks! Quote Link to comment Share on other sites More sharing options...
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