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beyond furious with Humana

kyleebean

By kyleebean, in Gastric Sleeve Surgery Forums

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kyleebean    209

kyleebean
Posted

I received my EOB today from Humana for my surgery in November. Mind you I was in the hospital 4 days and had some serious complications. My part of the bill is 124,950. That's right kids over a hundred thousand dollars. I had a preauthorization, I did everything by the book and now I am stuck with a bill that will bankrupt me. Advice?

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bearman99    228

bearman99
Posted

That is horsehockey.

My self pay in Neenah WI for a bariatric center of excellence was $18,400.

At the very least ask the hospital/surgeons to charge less down to the same cost as a self pay off the street.

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kyleebean    209

kyleebean
Posted

I will definitely talk with the hospital..... Unbelievable. I haven't received a bill yet from the hospital and this is just of the EOB sent from Humana.

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RJ'S/beginning    5,358

RJ'S/beginning
Posted

Wow!!!!!!!!!! That is horrible!!!!!!! :(

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magtart    603

magtart
Posted

I would call Humana for an explanation.

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bearman99    228

bearman99
Posted

It is in your best interest. It raised your blood pressure and caused all kinds of reactions inside your body to get ready to fight..... :D :o :rolleyes:

I will definitely talk with the hospital..... Unbelievable. I haven't received a bill yet from the hospital and this is just of the EOB sent from Humana.

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goofy219    11

goofy219
Posted

Check with your insurance plan. Most have a maximum out of pocket. Mine is $7,000 then my insurance pays the remaining balance at 100%.

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lynn2win    142

lynn2win
Posted

OMG...oh boy now that scares me...I am already using a credit card to pay for the deductible and dr visits....Good luck honey...I hope they take off 124k at least

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FitnFabfor2014    358

FitnFabfor2014
Posted

My jaw dropped when I saw that total! Did you speak to them prior to the surgery about what your out of pocket expense would be? Now they know why people go crazy. These insurance companies mess with our sanity!!! OMG I hope that you received that in error!!!

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jnlebean    25

jnlebean
Posted (edited)

Sorry, I'm paying for my surgery out of pocket. What does EOB mean? My husband and I are both getting sleeved, im a revision and our combined total is less than $20,000

Edited by jnlebean

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K33    87

K33
Posted

Ask for a line by line accounting for every single charge. You will find mistakes as well as outrageous fees, but stay on them. Keep track of who you speak to, the date and time, and summarize the info after each conversation.

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Go To Topic Listing Gastric Sleeve 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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