ThinnerTimes Logo
Connect with Facebook
 
Register Groups Blogs Photos Chat Members Calendar Search Today's Posts Mark Forums Read Help Donate
  ThinnerTimes Forum
 

Advanced Search
Member Search
 
 

Go Back   ThinnerTimes - Gastric Bypass Forum, Lap Band Forum, and Vertical Sleeve Gastrectomy Forum > General > Insurance

Notices

Insurance Discuss insurance topics for the gastric bypass and Lap BandŽ operations.

Reply
 
LinkBack Thread Tools Search this Thread Display Modes
Old 11-07-2009, 08:33 AM   #1 (permalink)
Member
 
DrStephen's Avatar

Join Date: Oct 2009
Location: Auburn, GA
Surgeon: Dr. Robert Richard
Start Weight: 334
Current Weight: 296
Goal Weight: 225
Surgery Date: 10/22/2009
Age: 50
Posts: 57
DrStephen is on a distinguished road
Default My bills are starting to come in - United Healthcare

Here is an excerpt from my blog - regarding my charges for the RNY on 10/22/2009. I am a lifelong conservative and Republican, but the complete disconnect we have here in the United States of America regarding health care is driving me nuts.

My son, Christopher, died in May 2004 and was multi-handicapped. Most of his 20-year-life was spent by me working for one company - not becuase I was completely satisfied there, bbut because I was terrified of 1) not having health insurance or 2) pre-existing conditions should I take a new job.

To me it just doesn't seem right that we are the most prosperous nation on this planet, but we do not provide basic services to our citizens. I know this may be unpopular with my conservative friends, and my own brother just commented on facebook, to my mother, "do you know a Stephen Jones?" after I posted similar comments there.... but we have to find a way to make this right.

anyway, here is the bills and adjustments and settlements so far.

I got the hospital bill for my gastric bypass surgery yesterday. This is just the hospital bill and does not include any inevitable discounts that the insurance company will apply to the final settlement. I had my surgery at the NE Georgia Medical Center in Gainesville, GA, by Dr. Robert Richard of Obesity Solutions. I was very impressed with the hospital, and with Dr. Richard as well. In the documentation I reviewed, they cover expected costs for this surgery if it is "self-paid", meaning no insurance benefits are available.

the estimates were
$15,500 facility fee (Hospital)
1,200 anesthesiologist
8,000 Surgeon
700 Surgical Assistant
---------------------------------
$25,400 total estimate

I have just rec'd the Explanation of Benefits for the hospital. Here is what they billed

$ 1,312.00 Room/Board (2 full days, 2 nights)
4,642.57 Pharmacy
27,547.12 Supplies
1,360.00 Lab
1,276.38 Radiology
231.78 Cardiology
16,928.97 O.R. Services
46.45 Professional
----------------------------------------------
$53,346.19 total patient charges

The insurance company, United Healthcare, applied a "net discount" of -$39,922.04 to the hospital bill, leaving a net of $13,377.70 for the Hospital portion of the procedure.

Dr. Richard charged $9,225.00 for his services, the Surgical Assistant charged $2,244.00. Those charges are "under review" by United Healthcare.

More to come! If you'd like to read more, visit my blog (see link in my sig line)
__________________
Stephen Jones -->
Auburn, GA
www.tivoanxiety.blogspot.com (my blog)
334/296/200
start/now/goal
DrStephen is offline   Reply With Quote
Reply

Bookmarks

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Failure of a supervised diet? United Healthcare and UCLA anyone? Bridget Insurance 8 08-16-2009 09:40 PM
interesting thing about hospital bills sierrab Pre-op Gastric Bypass 3 02-25-2008 06:13 PM
United Healthcare? Claire-in-Texas Insurance 11 08-13-2007 08:34 AM
United Healthcare hxquero Pre-op Gastric Bypass 2 10-29-2006 01:04 PM
interesting thing about hospital bills sierrab Pre-op Gastric Bypass 0 02-23-2006 09:00 AM


All times are GMT -7. The time now is 08:35 PM.



Powered by vBulletin® Version 3.8.4
Copyright ©2000 - 2009, Jelsoft Enterprises Ltd.
Search Engine Optimization by vBSEO 3.2.0
Owned by ThinnerTimes Gastric Bypass