Doctor insights on:
How To Bill It To Insurance
Medigap plan: A good idea to get secondary coverage, as medicare only pays 80 % of doctors bills after a deductible per year. Medicare a pays hospital bills and post acute care after a deductible. Medicare b pays office visits, 80 %, after a deductible. Most plans have enrollment periods . Look around to see whcich one suits your needs. ...Read more
PCP referal: Gerd is a reasonable reason to see a gastroenterologist. All that you shoul need is a referal from your pcp. ...Read more
Call 1-800-MEDICARE: Since you're asking about "going back", presumably you now have Medicare Advantage. Check out http://www.medicare.gov/sign-up-change-plans/medicare-health-plans/medicare-advantage-plans/when-to-join-medicare-advantage-plan.html for info on joining/dropping Medicare Advantage. ...Read more
Research this: The answer to your question differs by state and by specific insurance policy. You can review your own insurance policy, or contact your insurance company to ask. Also, you can call Methadone clinics to ask about their services. Since your note indicates you're from tn, here's a resource listing clinics in tn: http://tn.Gov/mental/a&d/a_d_docs/methadonelabeledclinics.Pdf. ...Read moreSee 1 more doctor answer
Must Meet Standards: May consider “disabled” if you have a medically determinable physical or mental impairment (including emotional or learning problem) which results; inability to do any substantial gainful activity; can be expected to result in death; or has lasted or can be expected to last for a continuous period of not less than 12 months. http://www.socialsecurity.gov/compassionateallowances/conditions.htm. ...Read moreSee 1 more doctor answer
Provider: Your first stop should be with the surgeon. In most cases he or she has an office staff that is used to obtaining insurance authorization for your surgery. If not, call your provider (Medicaid) and just make sure you have the diagnosis code and the CPT code of the procedure you want. ...Read more
A LOT: Adenoidectomy (i assume you mean in a child) requires a general anesthetic with a breathing tube. So there is a surgeon fee of 300-1000+, an anesthesia fee of similar, and a facility fee (surgery site and nursing care and supplies) of way more than that. Shop around to see what charges will be. It's really best to get the child on an insurance plan to have it done while they are covered. ...Read more
Few thousand dollars: The average cost for tubal reversal surgery is a few thousand dollars. You might also want to consider ivf: the cost may be a little more, but the success rate may be better in many cases. See a reproductive endocrinologist, and good luck! ...Read more
Danger 2 self/others: It usually is a situation where someone is a danger to themselves or others or can't take care of themselves because of a mental illness. ...Read more
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