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My Wonderful Uro/Gyn Just Terminated Accepting My Insurance

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  • #1

    My Wonderful Uro/Gyn Just Terminated Accepting My Insurance

    What a mess I feel like right now. I found out last week my fantastic TEAM of doctor/PA/nurses, are no longer accepting my insurance and I'll need to use them as Out of Network. I've already been meeting my In Network $3000 deductible each year and my premiums are $772/month. Now, in addition, I have to meet an Out of Network $6000 ded just for them to begin paying 50% and after the next $6500 (for a total of $12,500/year for Out of Network only) they will begin paying 100%. I'm trying all I can to work with the Insurance Co, but so far, everything is out of pocket. The strange thing is that my insurance company can't find another Uro/Gyn within a 100 mile radius for me to use. I feel so lost right now. Not only is it difficult thinking of changing docs in the middle of treatment (I already had him perform 2 surgeries and we're looking at possibly 2 more to correct problems from a surgery in 2007), but to feel like I'm being thrown to the wolves after my body has been botched already is saddening. I can still go to the same hospital, same PT, but not my doctor! I feel like I dragged my feet too long trying to go the conservative way first, and may still need the 2 more surgeries.

    I'm sorry if it sounds like complaining....I know many of us have lost our "miracle doctors" and have to start over, but I'm beginning to weaken in this battle just to get good care. I am thankful however, that for the last 1-1/2 years I have been in what I consider the best of hands.

    Also, if anyone knows any information about the latest TV ads for those who have experienced problems with "MESH" used for prolapses, I'd sure appreciate hearing from you. It seems like all I see are "LAWYERS" advertised, and I'd just like to find out the actual details of what's going on since I'm one of those affected and my corrective surgeries are to repair this problem.

    Thanks so much for listening...
    Never heard of IC til suspected....Never knew so many suffer from it. Praying for a cure. I've found answers...so can you...keep the hope.

    11/2007 IC Symptoms began during recovery of surgery for bladder susp & hysto: painful/urge/freq urination up to 50 times a day, pain walking, even water hurts.
    8/2009 Susp IC; 1/2010 Treatment began; 2/2010 Diag PFD, PT, Surg remove mesh; 5/2010 Surg, 2nd bladder repair, vag vault/sm int prolapse repair, IC confirmed in surg; 7/2010 Diag Candida Esophagitis, Gastritis, Diviticulosis, Gallstones,
    8/2010 Surg gallbladder
    TREATMENTS (updated 4/15)
    IC Diet since 8/2009 (Able to vary 4/15)
    Heparin/Lidocaine/Bicarb/Kenalog Instills 1xDay
    Aloe Vera Capsules, (2) 2xDay, Loratadine 1xDay
    Pantoprazole, Prelief, Pyridium up to 3xDay, Premarin Cream 3xWeek
    *DISCONTINUED since feeling better: Celexa 10mg daily*, Fiber supp*,
    Gabapentin 12/2011 worked well *, Macrodantin 100mg after instill*, Probiotics*, PT-PFD*, Valium Vag Suppositories: Cyclo/diaz/lido, 10/5/62.5mg *
    PROB MEDS: Elavil, up to 50mg 1/2011 ret&hbp, Urelle ret, Vesicare ret

    Tags: None
    • #2
      I feel for you, I am looking for a mew uro, as mine suddenly closed his practise. where I live there is a 6 - 12 mons wait list to get into a uro.

      I found a good one who see people based on need and saw me within 10 days so I can't complain, but it is a 1000 mile round trip to see him, the traveling makes me so much worse it is hard to tell if it is worth it.

      I hope you can sort this out soon, please not to try to stress over this too much.

      MG
      My are with you all. May you all find a way to peace and joy in your lives.

        Comment

        • #3
          You might want to talk to an attorney if "mesh" will require more surgery.


          Donna
          Stay safe


          Elmiron Eye Disease Information Center - https://www.ic-network.com/elmiron-p...mation-center/
          Elmiron Eye Disease Fact Sheet (Downloadable) - https://www.ic-network.com/wp-conten...nFactSheet.pdf

          Have you checked the ICN Shop?
          Click on ICN Shop at the top of this page. You'll find Bladder Builder and Bladder Rest, both of which we are finding have excellent results.

          Patient Help: http://www.ic-network.com/patientlinks.html

          Sub-types https://www.ic-network.com/five-pote...markably-well/

          Diet list: https://www.ic-network.com/interstitial-cystitis-diet/

          AUA Guidelines: https://www.ic-network.com/aua-guide...tial-cystitis/

          I am not a medical authority nor do I offer medical advice. In all cases, I strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.           [3MG]

          Anyone who says something is foolproof hasn't met a determined fool

            Comment

            • #4
              Thank you both, MG and Donna. I'm actually trying to just relax about this whole thing. I know my Doctor doesn't want me to pay for anything out of pocket, they've told me they won't leave me high and dry but I've already started paying $265 for a visit/instill and I have instills 2-3xweek. This Friday they're teaching me to do my own. My sweet hubby is going to go with to help. How unnatural this all seems for a natural function. I'm still going through denial over and over every so many months....just can't see how all this happened so quickly and here it is almost 4 years.

              Donna, the mesh for my bladder has already been removed and the repair done again all by my new doc. That feels better and after 1-1/2 years no prolapse again (first surgery prolapsed within 6 months and then came the vaginal vault prolapse as well.) The urethral sling is possibly causing me to not be able to "go"....retaining up to 300cc's +. I'm just not the type to drag things through the legal system, but am seriously thinking this just might be an ongoing very painful and costly thing to me as well. How many of us are just so trusting of our bodies with medical science! Not any more for this one.

              I'm so thankful for this site where I can research and hear comments directly from "the ones affected" by this disease instead of just pure statistics. All the input has helped me personally get through the last couple years.

              Thank you.....Blessings to all.
              Never heard of IC til suspected....Never knew so many suffer from it. Praying for a cure. I've found answers...so can you...keep the hope.

              11/2007 IC Symptoms began during recovery of surgery for bladder susp & hysto: painful/urge/freq urination up to 50 times a day, pain walking, even water hurts.
              8/2009 Susp IC; 1/2010 Treatment began; 2/2010 Diag PFD, PT, Surg remove mesh; 5/2010 Surg, 2nd bladder repair, vag vault/sm int prolapse repair, IC confirmed in surg; 7/2010 Diag Candida Esophagitis, Gastritis, Diviticulosis, Gallstones,
              8/2010 Surg gallbladder
              TREATMENTS (updated 4/15)
              IC Diet since 8/2009 (Able to vary 4/15)
              Heparin/Lidocaine/Bicarb/Kenalog Instills 1xDay
              Aloe Vera Capsules, (2) 2xDay, Loratadine 1xDay
              Pantoprazole, Prelief, Pyridium up to 3xDay, Premarin Cream 3xWeek
              *DISCONTINUED since feeling better: Celexa 10mg daily*, Fiber supp*,
              Gabapentin 12/2011 worked well *, Macrodantin 100mg after instill*, Probiotics*, PT-PFD*, Valium Vag Suppositories: Cyclo/diaz/lido, 10/5/62.5mg *
              PROB MEDS: Elavil, up to 50mg 1/2011 ret&hbp, Urelle ret, Vesicare ret

                Comment

                • #5
                  lost wonderful uro.

                  Nanawags,
                  So sorry that you're having to go through so much.

                  I hope you can get it all straightened out very soon.

                  Keep posting and do not apologize for venting.

                  Good luck,
                  Laurie

                    Comment

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