{"id":353,"date":"2015-03-05T09:11:15","date_gmt":"2015-03-05T09:11:15","guid":{"rendered":"https:\/\/kweaver.org\/diabetes\/insurance-issues\/"},"modified":"2015-03-05T09:11:15","modified_gmt":"2015-03-05T09:11:15","slug":"insurance-issues","status":"publish","type":"post","link":"https:\/\/kweaver.org\/diabetes\/insurance-issues\/","title":{"rendered":"Insurance Issues"},"content":{"rendered":"<p>Those of you on Facebook know that my husband has been facing a medical crisis.<\/p>\n<p>He had had a headache for several weeks and then had a major change in personality \/ behavior.&#0160; I had been requesting that he contact his doctor before that change because he wasn&#39;t getting better.&#0160; Of course, I was ignored.<\/p>\n<p>He has United Health Care Choice insurance which we can&#39;t figure out exactly what the term&#0160;Choice &#0160;means.&#0160; However, Baylor Scott White System is in network.<\/p>\n<p>I&#39;ve done research and different insurance experts at Baylor Scott White have been helping.&#0160; He has a deductible of $2000, which was alarming, I&#39;m used to $1000 deductible.&#0160; He also has an out of pocket maximum of $6250, which I&#39;m sure we hit the first day in the emergency room, if not there, in the operating room\/recovery room.<\/p>\n<p>So here&#39;s what has happened.&#0160; He&#0160;has seen his primary care doctor twice&#0160;(office visits of $30 copay).&#0160; We were sent for a CT scan and have paid&#0160;co-pays and full price for&#0160;the scan itself and for the reading.<\/p>\n<p>We were sent to a specific facility and doctor (both in network).&#0160; We&#39;ll pay copays for emergency room and full price for any of that care until we hit the deductible.&#0160; Then we&#39;ll pay just copays and 20% of anything.&#0160; Once we hit the maximum out of pocket, we don&#39;t pay any more.<\/p>\n<p>So far, here&#39;s what we got:<\/p>\n<p>2 primary care visits<br \/>At least 2 CT Scans<br \/>1 emergency room visit<br \/>consult by trauma residents<br \/>brain surgery and recovery<br \/>Surgical ICU for at least 2 days<br \/>Regular hospital room for the remainder of the vists<br \/>Daily visits by neuro surgeon and by trauma doctor, PT, Speech Therapy, and one visit by Social Worker&#0160;for plan.<br \/>Follow up visits with neurosurgeon, primary care physician<br \/>Out patient therapy<\/p>\n<p>It could have been worse.<br \/>&#0160;<\/p>\n<p>&#0160;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Those of you on Facebook know that my husband has been facing a medical crisis. He had had a headache for several weeks and then had a major change in personality \/ behavior.&#0160; I had been requesting that he contact his doctor before that change because he wasn&#39;t getting better.&#0160; Of course, I was ignored. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-353","post","type-post","status-publish","format-standard","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/posts\/353","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/comments?post=353"}],"version-history":[{"count":0,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/posts\/353\/revisions"}],"wp:attachment":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/media?parent=353"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/categories?post=353"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/tags?post=353"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}