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OMG!!! EOB from insurance

JMinDallas

By JMinDallas, in LAP-BAND Surgery Forums

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JMinDallas    1

JMinDallas
Posted

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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honk    780

honk
Posted

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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mlfsandiego    0

mlfsandiego
Posted

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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Go To Topic Listing LAP-BAND Surgery Forums

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    • Alisa_S

      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.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      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

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • KimBaxleyWilson

      KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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      1. This update has no replies.

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