Just happened to run across this thread as I was browsing.
Bill: Since I had my surgery at Cleveland as well and was "out of network" I am still dealing with the bills. In actuality, I appealed to my primary United HealthCare of Utah and they agreed to cover the surgery as "in network." However, ironically, they completely denied Cosgrove's surgical fee of $12,180. I went to Cosgrove's financial advisor (Peg Judson) for help and she contacted the insurance company. The story she got was that they had paid the anesthesia bill to Cleveland Clinic but labeled it the surgeon's fee. Therefore, when Cosgrove's fee showed up, they claimed they had already paid it to another provider, i.e. Cleveland Clinic. This is still in the process of being worked out so we'll see. I've seen the statements from Cleveland saying "this is what you will owe unless paid by insurance" go down from $58,000 to a current $14,000. Still holding my breath to see how it all ends up. I have BC/BS as secondary but so far all they have done with the statements they've received is reject them saying that they haven't been provided with information as to what the primary paid and won't address the bills until they receive that info. I don't haVe a problem with that, but wouldn't you think Cleveland does provide that information when billing a secondary???
Well, this month's statement (on the 14th) should be coming any day.
Ironically, since our health premiums are going up at the office (surprise!), I was today appointed the official investigator/researcher to try and find us a new health plan. So, any suggestions from you guys who are particularly satisfied?
Seems I have heard a lot of good about Aetna . . . .