Question:
My doctor dropped my network after I just got approved - has this happened to anyone

I just got approved from Trustmark /PHCS insurance on 9/10/02. Today my surgeon's (Dr.Fallang) office called to tell me that he has decided to drop all networks and that by the time I have my surgery he will not be covering it. He is scheduling into November / December. She said that to continue I have to pay $4500.00 by 30 days prior to my surgery date. She said that out-of-network reimbursement is usually $1500.00 and Dr.Fallang charges $6000.00 for an open RNY so I have to pay the difference up front. If the insurance ends up paying more I will get whatever money back. The hospital is still covered by my insurance so that part should be paid. Has anyone else had this happen to them? I tried calling another surgeon (Dr.Maguire) who does RNY in my area and he is booked until January. Their office said I would have to start all over in the process. I am worried that if I stay with Dr.Fallang and something happens I will be left with HUGE medical bills. Any advice would be greatly appreciated !!    — Kelly B. (posted on September 13, 2002)

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