Shirley/Re: Insurance - Amount Allowed

[Guest guest]

Shirley,

The biggest thing is to stay on top of things until it is taken care

of. I make weekly phone calls to the insurance and doctors office.

My doctors office just sent in the OS and asst OS fees about 3 weeks

ago. I really don't understand this when the surgery was back on

June 28th. Actually Care First is stating that only the asst. OS

fees were sent in and as of today still hasn't received the OS fees.I

have an OS appt. tomorrow and will be sure to check with the staff to

see what the heck is going on. Meantime I continue to pay $350.00 a

month on my Care Credit account until I am reimbursed by the

insurance.

Yes, I am so so ready to get these braces off. I am still having

concerns with some of the teeth hitting hard against each other

causing some of the roots to become inflamed. My endodontist is

hoping that the OD can move the few teeth hitting hard against each

other soon to stop further root damage. ARGGGHHH!!

Anyway, good luck with your insurance!!

--Caboose

>

> Hi , Thanks for the input. I'm trying to see what other OS

> are charging and what the insurance companies are allowing. This

> part has been real frustrating as the OS office didn't send in the

> medical justification (they did 2 years ago, but BCBS doesn't do

pre

> approvals, so they should have resubmitted OS letter with the

> bill). Supposedly the OS office is sending additional information,

> but I'm going to call them this week to make sure.

>

> And then when they sent to Tricare (husband's retired military),

> they indicated the surgery was in the office, so they didn't pay

for

> it. Also they didn't send information about the other insurance so

> I have to fax them the EOB. Gr..Gr.

>

> I'd just like to get this finished up as they keep sending me

> bills. The hospital bill was $28000, but insurance allowed about

> $8000 and paid all but $100. Tricare picked up the $100 after I

> called them 3 times and faxed them my EOB from BCBS. It shouldn't

> be this complicated, but I have dealt with this for years having

> done my Dad's and grandmother's health insurance - not to mention

> the kids, etc.

>

> Thanks again. I'll bet you can't wait for the braces to come off.

> I am really looking forward to that day. But my teeth don't seem

to

> be moving even with the double rubber bands. We'll see when I see

> the OD in 3 weeks.

>

> Shirley

>