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Emergent Hysterectomy & Insurance Issues Emergent Hysterectomy & Insurance Issues

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Unread 12-01-2007, 05:26 PM
Emergent Hysterectomy & Insurance Issues

Well, I go to my doctor the other day because I was in pain (turned out to be a yeast infection) - and I go to check out and the receptionist tells me that my insurance has an issue with my hysterectomy being an "emergent procedure" as relatively all are "scheduled in advance".

Basically I was bleeding out and HAD to have SOMETHING done - that something turned out to be a hysterectomy the next day - but since I checked straight into the hospital from my gyno appointment and had the surgery the next day they don't seem to have "a code number" for anything such as that.

I was on the phone for a couple hours on Thursday...decided to hold off to talk to other people until Monday as I wanted to coordinate everything with everyone and not on a Friday so they forget to do something after the weekend. Seems someone somewhere dropped the ball and now I get to be the one to get someone to admit to it. The very nice lady I spoke with from my gyno's billing department believes it is the hospital that did not say it was an emergency type procedure - but we shall see Monday if they try to blame it on someone else and I end up playing the "runaround/phone tag" game for the better part of the afternoon. Someone's going to pay - this was a $2000+ fee (I'm figuring the hospital stay beforehand with some tests) - it wasn't the hysterectomy - that one's WAY higher. At least they aren't trying to weasel out of that one - but they aren't gonna weasel out of the other either.

Well...I can't believe I am the only one who had to get a hysterectomy without preparing for one...anyone else out there had a similar situation with having to get one done pronto?
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Unread 12-01-2007, 06:27 PM
Emergent Hysterectomy & Insurance Issues

I wasn't quite as quick as you, but close--I was having sporadic vomiting but no other symptoms; a bad bout finally sent me to the ER, where the doctor diagnosed "a huge mass" and told me I needed a gynecological oncologist, immediately. I found one a couple of days later; he told me to show up in the hospital a few days later in the ER on Friday (I had no symptoms then, and it was a different hospital) and he'd admit me, have the pre-op testing done over the weekend, then he'd fit me in on Monday, his normal day to operate in that hospital. I didn't want to do it quite that fast; he said that scheduling it through his office would mean an 8-week wait, and I would undoubtedly have another vomiting-and-pain-festival again before then. So I went with his accelerated plan. He did me a huge favor--even though it meant a couple of extra days pre-surgery in the hospital, the whole thing was over before I had time to freak out.
Unread 12-02-2007, 08:34 PM
Emergent Hysterectomy & Insurance Issues

i didnt have a emergancy one but did have insurance problems , good luck

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