BrittanyRose 1 Posted April 9, 2012 Extremely frustrating situation and I need to vent about it!! My surgery is scheduled for May 15th and I've been going through my 6 months with the nutritionist and getting my testing done but this weekend I got a letter from my insurance company saying my doc is not a participating physician with my plan and saying we owed over $700 to the doctor for one visit. I am only 18 so my mom was the one that talked to the office about surgery officially but they told her they take our insurance. The doctor even works out of the hospital that my parents work at and that my insurance is through and many other people my mom knows in the hospital have gotten the surgery through this doctor! We have not gotten letters like this for the other appointments but I think that is because this month was the first time I met with my doctor after my nutritionist appointment (actually, the made me meet with a Nurse Practitioner instead because the doc was too busy and the "appointment" was less than three minutes long"). My mom is going to call the office tomorrow to try to get to the bottom of it and said that she will refuse to pay for this appointment because they told her our insurance was accepted but I'm scared that I'm going to have to change doctors so close to surgery. I made all of my plans with my job and internship for the summer around my current surgery date so that I have exactly a week before I have to go back to work!! Ok vent over!! If something like this has happened to anyone else let me know how it went! Happy Easter/Passover Share this post Link to post Share on other sites
kmt1973 92 Posted April 9, 2012 My insurance would not cover for the nurse practitioner. That may be the problem. I had to see the actual dr the whole time. Even though they cover for nurse practitioner on everything else, just not for this surgery, go figure. I hope it all works out for you. I wish I could've had it done at 18, instead of 38. Life would've been so so different. Good Luck! Share this post Link to post Share on other sites
waitingpatiently 250 Posted April 9, 2012 Hang in there! It could just be a billing code error. It will all work out. And if your do have to switch doctors hopefully everything will still count...just don't miss any of your 6 month supervized diet apptointments.....they will make you start all over. Share this post Link to post Share on other sites
Cazzy 725 Posted April 9, 2012 I really hope things get sorted out for you .. worst case scenario if you do have to change docotrs isnt that bad, this isnt complicated surgery the success normally comes after with support and proper fills etc so keep in mind that that is what is best to focus on. You have the support of your family too which will help a lot. Hopefully everything will work out for you with your exisiting doctor, if not dont stresss over it, you will still get your surgery and your can look forward to a thinner you Share this post Link to post Share on other sites