RE: Response to Insurance/Jane

February 22, 2001

You are right that they charge for two surgeons. However, depending on

how the bill gets coded and the type of surgery that is performed ---

the insurance company approves two surgeons. There are guidelines as to

the need for an additional surgeon for some cases. Keep fighting and

even right a note to the insurance company --- or have the surgeon and

your PCP write for the need to visit such an institution.

Faith

Response to Insurance/Jane

Oh,, just a little more info here on the question of

N.Y insurance.

Initially when I consultated with Dr. Milorhat and Bolgones oficce

they told me that they did accept my insurance at the time before I

got there.

I had Blue Cross / Blue Shield PPO High Risk Pool coverage. Then after

I get home the insurance sends me pre-approved coverage letters for the

surgery's.. But they say they are an out of network

provider and will only cover that cost.. I think 40 or 60%.. They said

right after Sept. they stopped accepting this type of

insurance but not to worry,, they could work with me and I have no

doubts that they will. is great and thank you Kathleen for

giving me his email.

My insurance paid all of the hospital bill which I think ran about

180,000 but some of the exray tech and anesthia guys have not still

been paid.

As far as it stand right now my bill for the doctor's is 28,000

left over that I am supposedly owe to them. So sure hope I get

another blessing and can get that written off, cause I sure don't

have that kind of money now. They do charge for two surgeons too. You

will get two bills one for Dr. Milorhat and another for Dr.

Bolognese.

Just thought some of you would like to know because some insurance co

only pay for one surgeon.

Hugs Jane in Texas

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