Friday, December 23, 2011

Friday, December 23rd


Another good nights sleep.  Had my head on my pillow all night.  Went to bed at 11:00, and went right to sleep.  I woke at 4:45 with a mild headache across the top of my forehead.  Couldn’t get back to sleep, so got up, had some juice and watched the morning news.  Off to work at 8:00, had three stops on the way in.  Worked in production until our pitch in at 12:00.  Had lunch then gathered my database and information I’ll need to work at home while I’m recovering.  The headache left me after lunch and didn't return.

I received a notice from the Brain & Spine Group regarding payment for the surgery.

Your upcoming surgery is tentatively scheduled for 1/04/2012.  We believe the your surgery will cost approximately $10,092.00.  We have learned that your health benefits plan will only cover a portion of our surgeon’s fees.

Based on your benefit information supplied to us from your insurance carrier, we estimate that you will be responsible for the balance of $608.46.  Your insurance carrier does not guarantee payment for this service and this estimate balance will vary based on your benefit plan at the time the claim is processed by your insurance carrier.  Please remember that this is an estimate. You may be responsible for additional amounts after your insurance company processes your claim. All overpayments will be refunded to you within 30 days after your insurance payment is posted to your account.

Our Financial Counselors will be glad to help you arrange payment for your portion of the bill prior to your surgery. Ideally, your portion of payment should be paid prior to your scheduled surgery.  For your convenience, we accept MasterCard, Visa, Discover, CareCredit and American Express credit cards.  If you are mailing your payment prior to your surgery, payment should be mailed to: ______________________, with a copy of this letter.  For questions, you may call 000-000-0000.  We will be happy to assist you.

Following your surgery, you will receive an explanation of benefits from your health benefits plan that confirms our surgeon’s fees. The portion reimbursed by the plan and any balance due to ___________________ that remains your personal responsibility at that time.

So, need to get that paid prior to the surgery!

Also in today’s mail was the Invoice for the ER visit:

Service                            Submitted            Plan                           Co-Pay
                                         Charge                Allowance

Diagnostic                       64.00                    38.16                             5.72
CT Scan                           2,572.00              1,533.68                        230.05
Medical Care                   1,158.00              690.52                           103.57           
MRI                                 3,593.00              2,142.51                        321.37
Prescription Drug            157.60                 93.98                             14.09
Prescription Drug            56.15                   33.48                              5.02
Prescription Drug            50.39                   30.05                              4.50
Prescription Drug            206.40                 123.00                            18.46

TOTALS                          7,857.54              4,685.46                        702.78

I am extremely blessed to have a good medical plan!

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