Has it been 5 years already?
#10
(11-17-2018, 09:04 AM)GCG Wrote: A quick follow up on this. When I went in for my 1st procedure, (5 years ago), They found a couple of totally benign polyps.... which I'm told is very typical. Well those little polyps turned out to have a huge effect on my most recent procedure. Here's how:  My 1st procedure was coded as "preventative" by the place that performed the service. So when it was sent in to my insurance for payment it was paid in full. I did not have to meet the deductable. When the bills started coming to my home for this most recent go-round... I was surprised to learn that my deductable, (5K), was now in play. After a few phone calls it was determined that because of those 2 polyps, the latest coding was labeled as "diagnostic" rather than "preventative." The insurance companies view the procedures differently, hence the deductable. Anyhow, I was able to get them to change the coding to preventative but it took some doing. So now, hopefully, those bills will be paid. Five years from now I will certainly ask the question about coding BEFORE I schedule another colonoscopy. If it tunrs out that I will be on the hook, I will likely opt for the new "shit in a box" method and go from there.
Everything I had done colostomy , radiation, surgery, chemo,colostomy again twice, MRI. and CT scans were all paid for with the Oregon health plan.
But when I turned 65 it's not all covered because Medicare isn't anywhere near enough. So now I pay for supplemental insurance ($154.00) a month.

I had a colostomy a couple of months ago. The bill was $1179.00. Medicare paid $261.00 my supplement Omaha paid the rest.
Just a visit to see my oncologist is $375 and the blood work I always have costs $212. It's all covered with my supplement or I would be screwed.

I was wrong. The bill for the was colostomy $3250.00. The bill was $1179.00 for removing 3 polyps.
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Messages In This Thread
Has it been 5 years already? - by GCG - 08-05-2018, 03:41 PM
Has it been 5 years already? - by Scrapper - 08-05-2018, 05:49 PM
RE: Has it been 5 years already? - by Scrapper - 08-05-2018, 05:52 PM
RE: Has it been 5 years already? - by bbqboy - 08-06-2018, 09:41 AM
RE: Has it been 5 years already? - by GCG - 08-08-2018, 06:05 PM
RE: Has it been 5 years already? - by tvguy - 08-08-2018, 07:16 PM
RE: Has it been 5 years already? - by GCG - 11-17-2018, 09:04 AM
RE: Has it been 5 years already? - by tvguy - 11-17-2018, 03:41 PM

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