Monday, January 4, 2010

Surgery soon (hopefully)

Well, we are trying to get surgery scheduled in St. Louis, however nothing is moving as quickly as I would prefer. It's really, really annoying.  We have the surgeon here trying to get my insurance waiver approved so I can get the surgery in St. Louis payed for, as it should be. Basically we are just waiting on surgery scheduling and insurance approval for the operation. We are still tentatively scheduled for Jan 14th here in New Orleans, so if nothing gets done with St. Louis by then we might just have the surgery here.

We have decided to not go to MD Anderson for a few reasons. Firstly, we found the world expert in St. Louis and are pretty comfortable with him. Secondly, insurance has been dragging their feet about letting us go anywhere other than our in-network Ochsner Hospital, and if we're going to work to go out of network and get it paid for, we'd like to focus our time and energy on St. Louis.  Furthermore, I was really surprised at how MD Anderson treated me throughout the scheduling process basically demanding $18,500 up front just to have a consultation with a physician there or to forget about it.  We know lots of other people have had really positive outcomes with MD Anderson and loved going there, but all of our experiences with them over the phone have been really negative.  So, that's the scoop on that.  In retrospect we're viewing things being so difficult with MD Anderson as a good sign though - if everything had just fallen into place with them we may never have found out about Dr. Moley in St. Louis.

Megan's working as much as she can right now & I'm going to work as many 8hr shifts in the ER as I can before my surgery.  It's just kinda tricky when I spend hours each day on the phone.  Insurance companies suck - I think they may just be getting more sick of me though as time goes on.

2 comments:

luke said...

keep after them. we have family lodging in St. Louis too that we can arrange for you guys. uncle & aunt live up there and are out of town for the next month or so.

Anonymous said...

Yeah, stay on them until they do the right thing. Seems like some insurance companies count on people giving up fighting for what they are supposed to have because it's such a hassle. So you can channel all your annoyance, anger, irritation, etc. into the process. Also, do the medical profession employers have someone who is the liaison between you and the insurance company? We have this at work, so for this kind of thing we would go to HR and ask that the broker or liaison get the coverage worked out. Keeps the individual from having to make all the calls. Just a thought.

Love you both, Aunt Karen