I just have to vent here because I am beyond speechless (well I guess not totally speechless)!
I got a letter from my previous insurance company saying that my claim has been denied. I had InterStim surgery done on Dec 7, 2010 and it was suppose to be covered. I actually told my urologist before the surgery that I could not do it, if it was not covered. They told me “we will not do it if it is not covered.” I said OK, so you will send it through my insurance and if it’s denied you will tell me?” they said “yes!”
Everything was fine and good to go. I had the surgery done and I figured everything was fine. I even called the hospital to make payment arrangements for my 20% and they said that the bill had not come through yet so I could not start making payments yet. Now it is April and still not set.
I got a letter today that said it had been DENIED! OMG,
I just sat there with my jaw to the floor. There was a hug number for what I owe and it is just above $52,000!! yes you read that right 52K!
I immediately called my urologist and they said they got paid back in Feb and to call my insurance so I did. As it stands now she said they actually requested the money back from my doctor and she could not make heads or tails of the “vague” notes on my account. I simply told her, there is no way I can pay this, I was assured the surgery would not be done if it was not covered.
Now I wait for a call back from the insurance company. What am I going to do if I have to pay the $52,000?! Hospitals can garnish up to 60% of your wages. We make under $48,000 a year for a family of 4 and we break even every month. I am just sitting here going, WT….!
Anyway, thanks for letting me vent today. I am literally sick to my stomach. I so don’t know what I am going to do!
I hope you are all having better days!
Tawna
UPDATE posted on 4-29-2011