Just got the bill for my lap exploratory and HSG

Texas77again

$14,691.40. 

WTF?  Supposedly my portion is almost $900, yeeeeeeeeeeeeah ok.  I have Tricare Prime and called a few days before to make sure my referral was all set and covered everything.  I was assured by Christina, that all I would have to pay is a $25 copay, which I paid. 

They are in for the fight of their life if they think that I am even going to pay a dime. 

Anyone else remember how much their procedure was?  Oh and I am assuming that there are more bills coming from the dr.  This was just from the hospital. 

mbiondich

I know that feeling well!  I have been fighting with my insurance company over my surgery and medical bills... I was diagnosed with Endo so they assume it was pre-existing... pre-existing had any of the other 10 ob/gyn's cared enough to look into my complaints instead of printing me off paperwork on "how to deal with menstruation!"  My insurance company is not getting away with anything though as I have contacted my state's Insurance Commissioner already.  We are working together on getting the "pre-approved" surgery paid and the claims thaT go with it!  Just stay on top of the insurance as they are trained to "dodge" payment by coming up with all kinds of things they "need."  I found that my previous doctors never received requests for info from them so just follow up on everything they say they are doing.  Get names, write down all calls (date/time/who you spoke with)... document everything!  I absolutely refuse to pay the $40k in bills when they approved the surgery beforehand... I plan to pay my deductible and that is it!  Also, most medical facilities understand the battle with the insurance and I update all parties included on a weekly basis.  They haven't even sent any bills to me since they know we are working on the claims being re-processed.  Communication is a lifesaver for us gals!  We need every penny we have to be able to conceive!!!  Good luck, stay persistent!!

maryandkirk0909

My laser lap was closer to $30K.  I owe my deductible on it, but that's it, because my endo causes other health problems unrelated to fertility.  If it were for fertility purposes only, my insurance wouldn't pay anything.  :-(

gervaisj6

My HSG was around 5k... DH's biopsy...28k..ugh thank god for insurance.

MsGMChick

O M G.. Thank goodness for insurance. 

missjul61

With insurance and an ectopic PG dx, I will pay $0 for my lap in June. Previously for an IF Dx only, an exploratory lap w/ 50% IF coverage would have cost me my out of pocket max, which is $1,500.

amandaleigh1

My lap with endo excisions and biopsy was around 15K for the hospital part. Then I was billed by the pathology place, the PA, the surgeon, and the anesthesiologist separately. I am about to hit my out of pocket max this year because of it. I have a PPO, so sharing the cost up to a certain max limit (in my case 2K) is par for the course. My insurance would not have covered this if it were for IF only-- only because I likely had endo did this even happen for me.

llizzyb

My lap/hysteroscopy was 18K. Haven't gotten our portion yet, but it should be less than 1K thanks to insurance.

Mr. & Mrs. Woodtick

I don't remember how much my procedure was, but when I had it done, I did have Tricare. Did your EOB explain why there was an unpaid portion of your bill? One thing that Tricare is great about, is approving a surgery, but not approving the location it is going to be performed at. That has happened to us with Tricare twice!  Our doctor would be a network provider, but he performed surgeries at an Out of network hospital. In fact this happened with our IVF cycle with our new insurance also. Our RE is network, but the ER/ET's are done at an out of network location.