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Recent Posts

56sunShine14
on 6/2/14 1:25 am
Topic: RE: Hospital asking for out of pocket up front, but deductible met????

So, that explains it.  They didn't refuse service but I sure did enjoy the billing person at the surgeons office reaming her out on the phone in front of me.  Just because she was so *****y about it all.  Commission on WLS.......hmmmm.

  All posts that I make on this site, any forum, are a result in my having experience and caring for anyone having to go through life as an obese person. If you have medical issues, please see your doctor for medical advice.

 

Karen

    
56sunShine14
on 5/30/14 12:07 pm
Topic: RE: Hospital asking for out of pocket up front, but deductible met????

I had wondered about that same thing.

  All posts that I make on this site, any forum, are a result in my having experience and caring for anyone having to go through life as an obese person. If you have medical issues, please see your doctor for medical advice.

 

Karen

    
k9ophile
on 5/30/14 10:45 am
Topic: RE: Hospital asking for out of pocket up front, but deductible met????
On May 30, 2014 at 5:11 PM Pacific Time, 56sunShine14 wrote:

Jules, no...you were right to ask the question.  Not that I disagree with the other posts here but would like to tell you what happened the day I had my band surgery.

My insurance is a government/military insurance for survivors and they do not advise to pay upfront for anything.  They pay a percentage of "their allowable amount" and I pay the balance, IF they determine, after the fact, that I do owe it.

However, the morning I went for surgery, at check in, the lady there asked how I was going to pay the $2,000.00 that day.  I just about fell out of my chair!  She told me that if I didn't pay then the surgery would be postponed! I reminded her what insurance I had and that I was told do not pay anything upfront.  That's when she got real pissy!  I told her I was not paying a dime that morning and if she was going to postpone my surgery, she needed to call my surgeons office right then. She did and I could hear the billing woman, whom I had met, reaming her out.

Needless to say, I had my surgery.  The fact that I am now scheduled with another surgeon to have the band removed, my point to you is...always ask if you aren't sure!  And this is a great place to ask.

Perhaps she was getting a percentage  of whatever she collected up front and that's why she got pissy.  (See my reply below; it's a racket!)

"Our ultimate freedom is the right and power to decide how anybody or anything outside ourselves will affect us."  Stephen Covey

Don't litter!  Spay or neuter your pet

k9ophile
on 5/30/14 10:43 am
Topic: RE: Hospital asking for out of pocket up front, but deductible met????

I work for a for-profit hospital chain.  They ask for money up front because they are greedy and want to have a cash flow while waiting for insurance to pay.  At my facility, the admission clerks get a percentage of that money and it often is more than their pay. I highly doubt they will refuse to operate on you if you decline to pay any up front.  If you overpay, you will get a refund, However, it probably won't be as immediate as the way you paid up front.  It could take a couple of months.

This same hospital turned me over to a collection agency less than two weeks after I received their services. Yes, they really turned one of their own employees over to a collection agency. When in doubt, follow the money and hold on to yours for as long as possible.  Believe me, I do and I have never been refused service.

"Our ultimate freedom is the right and power to decide how anybody or anything outside ourselves will affect us."  Stephen Covey

Don't litter!  Spay or neuter your pet

Jules78
on 5/30/14 10:20 am - GA
VSG on 05/01/14
Topic: RE: Hospital asking for out of pocket up front, but deductible met????

Thanks so much for sharing this. I basically was asked the same thing when I tried to register and was terrified that my surgery would be postponed. After informing her that I didn't have that kind of money upfront I too was also allowed to register and had my surgery the following week. 

   youtube channel- silkiilocks

 

56sunShine14
on 5/30/14 10:11 am
Topic: RE: Hospital asking for out of pocket up front, but deductible met????

Jules, no...you were right to ask the question.  Not that I disagree with the other posts here but would like to tell you what happened the day I had my band surgery.

My insurance is a government/military insurance for survivors and they do not advise to pay upfront for anything.  They pay a percentage of "their allowable amount" and I pay the balance, IF they determine, after the fact, that I do owe it.

However, the morning I went for surgery, at check in, the lady there asked how I was going to pay the $2,000.00 that day.  I just about fell out of my chair!  She told me that if I didn't pay then the surgery would be postponed! I reminded her what insurance I had and that I was told do not pay anything upfront.  That's when she got real pissy!  I told her I was not paying a dime that morning and if she was going to postpone my surgery, she needed to call my surgeons office right then. She did and I could hear the billing woman, whom I had met, reaming her out.

Needless to say, I had my surgery.  The fact that I am now scheduled with another surgeon to have the band removed, my point to you is...always ask if you aren't sure!  And this is a great place to ask.

  All posts that I make on this site, any forum, are a result in my having experience and caring for anyone having to go through life as an obese person. If you have medical issues, please see your doctor for medical advice.

 

Karen

    
Member Services
on 5/30/14 3:43 am - Irvine, CA
Topic: Check it out. Free Plastic Surgery Consults

 

Would you like to have a plastic surgery consult?  No problem! 

Join us at our ObesityHelp National Conference 2014 and you'll be able to have a free private consultation with our three plastic surgeons, Dr. Siamak AghaDr. Timothy Katzen and Dr. Alejandro Quiroz.

We hope you'll join us at the Conference.  

 

rlsmommy1203
on 5/26/14 1:17 am
Topic: RE: Coventry Carelink Tier 1

HI, did you ever figure anything out about this? Thanks

beachtreat77
on 5/22/14 1:12 pm - weeki wachee, FL
RNY on 11/19/14
Topic: RE: Florida share of cost

Aww thank you! Next week I have the second month of diet class and just went to the wellness assessment and paid the $700 to get cleared yesterday. I have to get a few things done and see a counselor about emotional eating before I get cleared which is ok because I def need to address my eating issues any way. ..I have to meet them in 3 months again for afollow up. just one step closer! Thanks for your concern it means allot! !! When are you getting yours and where and what type? 

Kdiva
on 5/22/14 8:44 am - Margate, FL
Topic: RE: Florida share of cost

No I have a surgeon already just wanted to inquire about you. Where are you in the process? 

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