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MBC and Going on Medicare soon, any advice.

Breast Cancer | Last Active: Mar 26 3:33pm | Replies (50)

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@jane2024

Hi all, am scheduled to have a double mastectomy without reconstruction in two weeks. As it is very expensive to have this done at a well-known cancer center, I asked for a cost estimate so that I can check with my insurance company and understand my financial responsibility. The insurance company said some of the billing codes in the estimate were invalid so I went back to the hospital and asked for the correct billing codes. It has been nearly 10 days and no one can get me the correct codes. I was stuck between the billing department, the cost estimate team and the patient access coordinator and made many calls and sent many messages. Everyone said that it is not its job. It is very frustrating and disappointing that I have to deal with this. I wanted to check in advance so there is no surprise after the surgery. Is this not reasonable? I would like to check if you have run into similar problems and whether the associated expenses and costs are covered by insurance after deductible and the annual maximum out of pocket? Are there any expenses that are not covered? It is so stressful. Thanks so much!

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Replies to "Hi all, am scheduled to have a double mastectomy without reconstruction in two weeks. As it..."

Hi, to follow up on the above, there is one thing in particular I wanted to check with this group - there is a hospital tax charge in NY. Do any of you have seen this? Is this covered by insurance? Many thanks!