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Rinaina, I am sorry for the confusion. I have a plan (not an HMO) that requires me to pay a $30 copay for a visit (face to face with a Doctor/Specialist) and a $100 copay if I have surgery in a Surgi-Center. I like this plan because I can go to any provider, specialists, dx tests, and labs without pre-approval for any medical condition.
I just wanted to convey the billing issues I have had, between my Medical Provider and Insurance Company, and was able to fix by analyzing the statements. Maybe it might help someone else in the same boat.
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Susie Q - North San Diego
Diagnosis at Age 41 on 10/6/06
~3cm Invasive Ductal Carcinoma Left Breast Stage II
~ER+ 45% Moderate ~ PR+ 62% Strong
~HER2/neu +++
~Sentinel Node Biopsy - Negative Four Nodes
~BRAC1/BRAC2 Negative
~Neo-adjuvant Chemo:6 rounds-every Three
Weeks of Taxotere & Carboplatin & Herceptin
Weekly Completed on 2/7/2007
~Lumpectomy (after chemo) 3/12/2007
~Switched to Every 3-week Herceptin 3/21/2007 for nine more months.
~Radiation May through June 2007 (35 rads total)
~Hormone therapy Lupron Injections + Arimidex
~Lymphedema Challenged!
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