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It's getting where you need your lawyer involved with the hospital administration to negotiate terms before surgery, such as: no out of network procedures, no o
by stevespang 6y ago
It's getting where you need your lawyer involved with the hospital administration to negotiate terms before surgery, such as: no out of network procedures, no out of network diagnostics, no out of network pharmaceuticals, and no out of network staff, 3rd parties, or professionals of any kind involved . . .
I had ObamaCare 2 years ago, urologist diagnosed me with double hernias (old age, not injury).
I was referred to surgeon who was "in network", we set up hospital to be "in network".
A close friend explained in more detail the hazards:
You have to call and determine if EVERYONE who might be involved is in "in network".
Turned out the anesthesiologists had a mafia grip on that particular hospital and they were not in network.
I called and had everything shut down and rescheduled for another better hospital whom had an anesthesiologists group that also had a mafia grip on their hospital - - - but they were in network.
In the end I legally obtained ~$55,000 worth of hernia surgery for about $450 in copay.