So close to surgery and may need to switch Docs, Best Docs??

[lexchomp]

Hello hello,

Well my process has been 3 or 4 years in the making and I was all set up with Gunson who I've always wanted, I've been in orthodontics for 3 months and have around 3-4 months left til surgery. I was so excited to make Gunson work but now my insurance has messed everything up...

orthognathic IS a benefit for my insurance and Gunson's specific hospital IS in network buttttt my insurance has a no pre-authprization policy so without the insurance preauthorizing my hospital stay the hospital has denied my insurance and now I have to self pay the hospital visit so that ups my bill quite a lot..... And my insurance's reasonable and customary fees for orthognathic are so low I will barely get anything back so Now I am thinking of trying to find a new doctor but I still want one that focuses on aesthetics and who is known for their excellence but not as expensive as Gunson...

any doctor suggestions... I am checking out Posnick so far,.... who else?


I am located on the west coast so west coast docs would be nice but i am willing to travel as well.

thanks!

[sirwired]

But after your surgery (and before you have to actually pay your hospital bill), wouldn't the claim then be approved and your bill chopped down to in-network rates? Does it really matter what the bill is prior to insurance processing it?