True Story #1
Call from my surgeon this morning.
"You're not going to like this. HPN should approve your surgery within a couple of hours, however, they won't let you have the surgery at the hospital."
"But my doctor's don't go to the other hospital."
Later, I speak to the hospital. They're complaint? Well, HPN is agreeing to the surgery at the hospital and agreeing to pay the doctor, but they refuse to pay the hospital. OY!
We finally got it in writing that the hospital will get paid, too. God is good.
Later in the day………..
True Story #2
I get a call from surgeon #2 in regards to my surgery. He has switched over to a new office, which is good, because I get to keep him! I had informed HPN this morning that I wanted to keep him as my primary, especially since he is doing my surgery.
So anywho, the doctor's office called me in regards to my surgery. While I have them on the phone, I ask her about my biopsy results. I told her that I was simply told I did not have cancer and have never been told anything else. She puts me on hold; comes back and says the doctor is requesting that I come in so he can give me my results in person, showing me the reports and making sure I take a copy with me. Then she transfers me to scheduling.
The scheduler asks me my insurance. I tell her HPN. She wants to know if I've picked them as my primary. I say yes. She wants to know when the effective date is. I tell her I don't know, they didn't tell me that this morning when I picked him. She says I can't see him until HPN has finished their paperwork, because they won't pay for the appointment. I tell her that they are paying him to do my surgery on Saturday. She says it doesn't matter, I can't see him in the office per HPN until they have added him officially. I ask how long that takes. She says 30 days. I laugh hysterically. Then I tell her that it's ridiculous that I have to wait for THIRTY more days for an appointment to get my results because my insurance won't let me see the doctor that is doing my surgery in TWO days. She puts me on hold.
Next thing I know, the surgery scheduler is back on the phone. She says she's talked to the doctor and he told her to tell me that he understands and that he is personally going to bring copies of my records with him and go over the results of my biopsy with me on Saturday before my surgery.
True Story #3
While I was on the phone with HPN this morning, I mentioned that my son's dermatologist is on their provider list and that he is supposed to have an appointment in a couple of weeks. She says I can't keep it because it won't get paid. She states that I have to see his primary first. (That's a 30 day wait). Then, the primary has to refer him back to the dermatologist that he has an appointment with. (another 30 day wait.) Then he can see the doctor.
So let me get this straight…they are paying more money, to make him go to yet another doctor, just so he can go to his first doctor, because they are trying to save money. Yeah, that makes a lot of good, common sense!