Friday, July 24, 2009

a surgery date

...and now that we've started moving, everything is happening so fast.

I have a freakin' surgery date!! August 11th is the big day.

I had a week or two of major problems, though. Kim (financial coordinator) told me that Dr. Vetter requires payment up front, before the insurance company pays out (apparently they don't have a contract with Kaiser so they can pretty much do whatever they want). Grand total: $10,000, plus my $400 copay for the facility. Um, hello?

So I applied with Care Credit using my mom and my aunt and was denied (of course). I went to Dr. Vetter's office and told Kim that there is no way I can pay 10,000 bucks up front... it's just not something that is possible!

A couple of days later I met with Kim and she told me that Dr. Vetter agreed to let me have the surgery before paying... something they "have never done before." However, I still have to pay the assistant surgeon's fee of $2000 plus my current bill and the cost of my x-rays and molds, which comes out to $2500. WAAAAY better than ten grand. I'm really happy that they did this for me. Hopefully I can find a way to get a loan for a couple thousand before August 3rd, when I go in for molds and the money is due.

Another thing: I was on the phone with Kaiser seeing if there was any way the insurance company could pay out BEFORE the surgery, and the lady told me something very interesting. She said that usually, insurance claims are sent to Kaiser, and they are reviewed by Kaiser's staff and then sent to an oral surgeon for a final decision. But for some reason, my case was never sent to an oral surgeon for approval or denial, it was just approved without any further review. She said she's not sure what happened and my surgery probably would have been denied had it gone to the oral surgeon... but now that they've approved it, they're still going to pay for it. The only thing is that she suggested I don't try and go to a different surgeon who doesn't require me to pay up front. Why? Because that surgeon would have to submit a new claim, meaning it would go to an oral surgeon for review and "most likely be denied."

So, you can see my dilemma, here. I have to stay with Dr. Vetter or risk losing my insurance coverage. I really like him, though, and everyone at his office is very helpful.


Now I just need 2500 bucks. :)


ohhh annnd I HAVE to remember to go in to my orthodontist's office on Monday and let them know I have a surgery date. Back in March (or whenever it was) Dr. Arango told me there was nothing else he could do and that I was ready for surgery, and to just let him know when I had a date. So I haven't been in there for an adjustment in four months! Not good.. I was supposed to go in last month, at the latest. My bottom teeth are looking a little crooked...


Yay for a date, though!

6 comments:

chris k said...

All right! Go get some!

stephanie said...

Wahooo! A date!! Can't wait :)

Anonymous said...

now you need a new ticker! a countdown to surgery ticker! :)
I'm green with envy right now!

Melissa M. said...

Haha I am going to get a new countdown ticker right now!! :)

June said...

Hi Melissa. I noticed you are in Colorado Springs and so am I. My ortho is Dr. Ford (Briargate area) and my OS is Dr. Randy Robinson in Denver. It looks like Dr. Vetter is a good surgeon. Who is your ortho? Congratulations on a surgery date. Blessings to you. June

Melissa M. said...

Hey, June. Thanks for the comment. It's really cool to find someone who is in the Springs, too. My orthodontist is Dr. Jose Arango, who is located by Fort Carson. My surgeon is in the Briargate area; I wonder if he's close to your ortho! :)