Re: Adhesions and depression

From: Jenny (jenklow@hotmail.com)
Thu Mar 27 23:09:47 2003

You have the same insurance as me, HMO Blue Cross/BLue Shield. They do not want to pay for out-of-network benefits. I had talked with Dr. Gerhart from Scranton and had all my records sent to him. My gyn even wrote a letter on my behalf stating that he thought it was in my best interest to have surgery with Dr. Gerhart. The insurance company still denied coverage. They say there are doctors in-network who should be able to perform the same care. The problem is they cannot tell me who those doctors are. My PCP doesn't know who to sent me to either. I have found other doctors here in Houston who specialize in adhesions but they are not on my insurance. And of course that would mean out-of-network coverage so the insurance will not approve that either. When I talked with Dr. Gerhart he said that I could expect to pay around $30,000. This includes the airfare, hospital, his cost, food, and hotel stay. But from what I have been told by some who have already gone to Germany, they paid about $12,000 for airfare, hospital, surgeon, food, and a flat for 10 days. Since they can use SprayGel over there and the cost is about half of what it would be in Scranton, then my plans are to go to Germany. It would surely be easier coming up with $12,000 than $30,000. But I am like you, for now, the pain management doctor will have to do until I get the money I need to go to Germany. 

--
Jenny


At Thu, 27 Mar 2003, Dee1020tt@aol.com wrote:
>
>I too have had experience with DR's who have told me after all the tests that
>they couldn't find anything wrong with me. I just recently was in the
>hospital for a few days with nothing but iv pain med and tests. I was visited
>by quite a few different surgeons who told me there was nothing that they
>could do for me and that I need to just deal with it. My primary care has
>told me he has done everything he can do for me. My sister found a surgeon in
>New York City  by the name of Dr. Harry Reich. I don't even think my
>insurance would cover him because I have Blue Cross & Blue Shield HMO. UGH!
>It is all I could afford for the time being. I have missed so much work due
>to the pain I am suffering. I guess I'll just have to deal with it. I see a
>pain specialist tomorrow. Hope he can help.

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