Insurance no longer covers doctor

[Guest guest]

Hello,

I haven't posted in a long time but something has happened that has

made me upset. AJ has been a patient of Dr. Herzenberg since he was

12 days old. He is now 3.5 and we were scheduled for a check up this

Friday. The insurance company has not paid for the last two visits.

I just found out that Dr. H cancelled his contract with the Insurance

company. Even though we had gotten preapproved to see Dr. H before

AJ was born they still won't cover it. I wish someone had told me

before, then I could have made arrangements to pay. Now not only do

I owe the Institute, I also don't know if I can continue to take AJ

to see Dr. H. Aside from the doctor's fees, there are also the

$11.00 in tolls to get there, plus gas. With all of AJ's other

problems I don't know if I can justify the expense. I am really

upset over this. I trust Dr. H and don't know if there is someone

closer that we could see for the follow up. AJ has been hospitalized

twice since March for 5 days each with seizures and we still don't

have a diganosis. I just don't know what to do. Does anyone know of

someone in the NJ/Philly area who is Ponsetti trained? We take AJ to

Dupont in Wilmington Delaware for his neurologist, endocrinologist,

opthamologist, nephrologist, etc.

Thanks for your input.

and AJ 3.5 bilateral ideopathic clubfeet, PVL, BT13:14,

osteoperosis, hypotonia, global delays, nonverbal, strabismus,

seizures, no dx.

[Guest guest]

,

Is it possible that AJ is eligible for medicaid? It will cover children up to

200% poverty in addition to your insurance and in general picks up what your

insurance won't pay. I'd call my local Dept of Human Services and ask today!

Chris

Insurance no longer covers doctor

Hello,

I haven't posted in a long time but something has happened that has

made me upset. AJ has been a patient of Dr. Herzenberg since he was

12 days old. He is now 3.5 and we were scheduled for a check up this

Friday. The insurance company has not paid for the last two visits.

I just found out that Dr. H cancelled his contract with the Insurance

company. Even though we had gotten preapproved to see Dr. H before

AJ was born they still won't cover it. I wish someone had told me

before, then I could have made arrangements to pay. Now not only do

I owe the Institute, I also don't know if I can continue to take AJ

to see Dr. H. Aside from the doctor's fees, there are also the

$11.00 in tolls to get there, plus gas. With all of AJ's other

problems I don't know if I can justify the expense. I am really

upset over this. I trust Dr. H and don't know if there is someone

closer that we could see for the follow up. AJ has been hospitalized

twice since March for 5 days each with seizures and we still don't

have a diganosis. I just don't know what to do. Does anyone know of

someone in the NJ/Philly area who is Ponsetti trained? We take AJ to

Dupont in Wilmington Delaware for his neurologist, endocrinologist,

opthamologist, nephrologist, etc.

Thanks for your input.

and AJ 3.5 bilateral ideopathic clubfeet, PVL, BT13:14,

osteoperosis, hypotonia, global delays, nonverbal, strabismus,

seizures, no dx.

[Guest guest]

The only Ponsetti trained doctor close to us is 150 miles away near Kansas

City. Dr. Jarva doesn't take our insurance either and we have to pay $60

per visit. Luckily it's only every six months, but it's not easy.

Candy and Cole

At 09:29 AM 8/25/2004, you wrote:

>Hello,

>

>I haven't posted in a long time but something has happened that has

>made me upset. AJ has been a patient of Dr. Herzenberg since he was

>12 days old. He is now 3.5 and we were scheduled for a check up this

>Friday. The insurance company has not paid for the last two visits.

>I just found out that Dr. H cancelled his contract with the Insurance

>company. Even though we had gotten preapproved to see Dr. H before

>AJ was born they still won't cover it. I wish someone had told me

>before, then I could have made arrangements to pay. Now not only do

>I owe the Institute, I also don't know if I can continue to take AJ

>to see Dr. H. Aside from the doctor's fees, there are also the

>$11.00 in tolls to get there, plus gas. With all of AJ's other

>problems I don't know if I can justify the expense. I am really

>upset over this. I trust Dr. H and don't know if there is someone

>closer that we could see for the follow up. AJ has been hospitalized

>twice since March for 5 days each with seizures and we still don't

>have a diganosis. I just don't know what to do. Does anyone know of

>someone in the NJ/Philly area who is Ponsetti trained? We take AJ to

>Dupont in Wilmington Delaware for his neurologist, endocrinologist,

>opthamologist, nephrologist, etc.

>

>Thanks for your input.

>

> and AJ 3.5 bilateral ideopathic clubfeet, PVL, BT13:14,

>osteoperosis, hypotonia, global delays, nonverbal, strabismus,

>seizures, no dx.

>

>

>

>

>

[Guest guest]

,

I am so sorry you are having to deal with this on top of everything

else. I think it is outrageous they did not tell you about the

insurance changes. Have you been able to contact them and explain the

situation? It sounds like you must be on 6 month check ups now,

maybe they can work out a deal with you. Their is a great money guy

on the radio here and he says that negotiating with doctors,

hospitals, etc. about fees is completely acceptable. I would really

hope they would work with you considering the circumstances.

With regards to future check ups, the dr. that I have heard most

about in that area is Dr. Sher in NYC. It sounds like that would be a

long trip for you and I know the NJ Turnpike and the Garden State

Parkway are toll fests. Here is his info.

M. Scher, M.D.

Hospital for Joint Diseases

301 East 17th St.

New York, NY 10003

Tel:

Fax:

I read on a post a few days ago that he is moving to another location

in NY soon, hopefully someone from the NE will comment on that.

I hope you write and let us know how it goes. Best of luck.

Louisa

6-27-99

Zoe 2-22-04 RCF FAB 18/7

> Hello,

>

> I haven't posted in a long time but something has happened that has

> made me upset. AJ has been a patient of Dr. Herzenberg since he

was

> 12 days old. He is now 3.5 and we were scheduled for a check up

this

> Friday. The insurance company has not paid for the last two

visits.

> I just found out that Dr. H cancelled his contract with the

Insurance

> company. Even though we had gotten preapproved to see Dr. H before

> AJ was born they still won't cover it. I wish someone had told me

> before, then I could have made arrangements to pay. Now not only

do

> I owe the Institute, I also don't know if I can continue to take AJ

> to see Dr. H. Aside from the doctor's fees, there are also the

> $11.00 in tolls to get there, plus gas. With all of AJ's other

> problems I don't know if I can justify the expense. I am really

> upset over this. I trust Dr. H and don't know if there is someone

> closer that we could see for the follow up. AJ has been

hospitalized

> twice since March for 5 days each with seizures and we still don't

> have a diganosis. I just don't know what to do. Does anyone know

of

> someone in the NJ/Philly area who is Ponsetti trained? We take AJ

to

> Dupont in Wilmington Delaware for his neurologist, endocrinologist,

> opthamologist, nephrologist, etc.

>

> Thanks for your input.

>

> and AJ 3.5 bilateral ideopathic clubfeet, PVL, BT13:14,

> osteoperosis, hypotonia, global delays, nonverbal, strabismus,

> seizures, no dx.

[Guest guest]

Candy, Have you checked to see if Dr. Bonar from Rockhill

orthopedics takes your insurance in Kansas City. She is on the

ponseti list still and that is where Isabella got her treatment from.

> >Hello,

> >

> >I haven't posted in a long time but something has happened that has

> >made me upset. AJ has been a patient of Dr. Herzenberg since he

was

> >12 days old. He is now 3.5 and we were scheduled for a check up

this

> >Friday. The insurance company has not paid for the last two

visits.

> >I just found out that Dr. H cancelled his contract with the

Insurance

> >company. Even though we had gotten preapproved to see Dr. H before

> >AJ was born they still won't cover it. I wish someone had told me

> >before, then I could have made arrangements to pay. Now not only

do

> >I owe the Institute, I also don't know if I can continue to take AJ

> >to see Dr. H. Aside from the doctor's fees, there are also the

> >$11.00 in tolls to get there, plus gas. With all of AJ's other

> >problems I don't know if I can justify the expense. I am really

> >upset over this. I trust Dr. H and don't know if there is someone

> >closer that we could see for the follow up. AJ has been

hospitalized

> >twice since March for 5 days each with seizures and we still don't

> >have a diganosis. I just don't know what to do. Does anyone know

of

> >someone in the NJ/Philly area who is Ponsetti trained? We take AJ

to

> >Dupont in Wilmington Delaware for his neurologist, endocrinologist,

> >opthamologist, nephrologist, etc.

> >

> >Thanks for your input.

> >

> > and AJ 3.5 bilateral ideopathic clubfeet, PVL, BT13:14,

> >osteoperosis, hypotonia, global delays, nonverbal, strabismus,

> >seizures, no dx.

> >

> >

> >

> >

> >