Sawaboof

I love books, beer, coffee, tea, SciFi, espresso, music, baking, cooking, eating, food, laughing, riding my bike, going for walks, and living in Milwaukee.

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  1. Cost of Mirena: $685.47.
Cost Aurora Health Care bills for it: $1195 plus $465 insertion fee.
Edited to Update:
This bill has been run through my insurance provider.

Amount my insurance paid: $0
Amount excluded because of negotiated rates with my insurance provider: $907.73 
My balance: $752.27
Cue call to Patient Care (866-253-2273; http://www.patientcare4u.com/), an advocacy agency that I’m assuming my employer pays for, I have no idea, that will help you through any questions or issues with your insurance provider, claims, benefits, etc. My advocate, Jessica, came to the same conclusion I did. Humana is incredibly vague about their Women’s Health coverage, with the exception of mammograms and childbirth, neither of which I’m interested in right now or ever, respectively. So Jessica will be calling Humana tomorrow to discuss what exactly my coverage is and why my IUD through a preferred provider wasn’t covered. She will then call me back. I’ll be waiting until then to make any payments to Aurora because $752.27 is not a small sum of cash.
Anyway, this is fucking ridiculous.

    Cost of Mirena: $685.47.

    Cost Aurora Health Care bills for it: $1195 plus $465 insertion fee.

    Edited to Update:

    This bill has been run through my insurance provider.

    Amount my insurance paid: $0

    Amount excluded because of negotiated rates with my insurance provider: $907.73 

    My balance: $752.27

    Cue call to Patient Care (866-253-2273; http://www.patientcare4u.com/), an advocacy agency that I’m assuming my employer pays for, I have no idea, that will help you through any questions or issues with your insurance provider, claims, benefits, etc. My advocate, Jessica, came to the same conclusion I did. Humana is incredibly vague about their Women’s Health coverage, with the exception of mammograms and childbirth, neither of which I’m interested in right now or ever, respectively. So Jessica will be calling Humana tomorrow to discuss what exactly my coverage is and why my IUD through a preferred provider wasn’t covered. She will then call me back. I’ll be waiting until then to make any payments to Aurora because $752.27 is not a small sum of cash.

    Anyway, this is fucking ridiculous.

     
     
  2. It’s not even 9am yet…

    After several back and forth phone calls on Friday with the Aurora St. Luke’s Medical Center’s Social Worker and Nurse regarding discharge plans, I was kind of expecting at least a voice mail letting me know when my client was discharged.

    Especially since we hadn’t actually established which services he’d be needing in the community. The only voice mail I have today was left by a provider needing authorization for services they started providing on Saturday.

    Because I didn’t specifically tell the Social Worker we need to know exactly what my client would need upon discharge and we would need to authorize it prior to him being discharged and, because he is consistently non-compliant with medical advice, I would need to be directly involved in discharge planning to help make sure he is getting the best services for him to ensure recovery in the community, and prevent readmission.

    Apparently the needs of the hospital to get the patient out of the hospital before the weekend trumps the actual needs of the patient.