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OMG!!! EOB from insurance



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I was self pay, since my insurance doesn't cover WLS. I made the mistake of giving the hospital my insurance card, since they told me in case I have a hernia.

I just looked at my insurance online and the hospital billed them $63,000!!! My insurance paid $43,000!!! I have no idea what they billed them for. If it was just for the hernia repair, or what. It doesn't give me details.

Does anyone know if I can fight the hospital and ask them to give me back the $6000 I paid them? That was supposedly the only amount I had to pay...I can't imagine the hernia alone costing that much money.

And my dr billed them for the hernia I think, as well as an assitants fee. Both were not paid, since it falls under the amount for my deductible.

Any ideas on what I can do? That seems like a ridiculous amount of money, and darn it, I want my $6K I paid back!

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You may not get the original 6K back; but I would think that the amount that equals your deductable that you have to pay now should be returned. You should'nt be billed twice for basically one operation.

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I am in the same boat!!! I am so pissed off to say the least!!!! I have been fighting the surgery center and asking how they can charge for a whole complete other surgery when I already paid them $8,500.00 cash for my surgery happening at the same time same location. My surgeon didn't charge me anything for the repair, but the surgery center billed my insurance $19,000.00 and my deductible plus co pay were almost $4,000.00. I complained to the insurance company BS and they said it is legal. Everybody wonders why our premiums are so high??? This is disgusting!!!! abuse of our healthcare system. I have perfect credit now and will probably go to collection because I told them I had no intentions on paying them. I asked them in writing for a complete detailed billing for both surgeries, then I intend to ask them how they can charge twice for everything like anesthesia, OR, etc., then I will ask it to be refunded to me. I have had screaming matches with these people already. :party:

Good luck and I will keep you posted on my situation.

Monica

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      Soooo I am coming to a realization
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

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    • CaseyP1011

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