We found out TODAY that my husband's Medicare Advantage plan with People's Health in Louisiana will only pay 80% of the charges for his cystoscopy that is scheduled for Monday. We thought his copay was going to be $50.00. Apparently Oschner Hospital in New Orleans is OUT OF NETWORK!
Dr. Bardot, who is the end of Urology at Oschner, is the one who was going to do it and the radical cystectomy, if needed.
There is no way we can afford the $3000 to $4000 that would be our share! And I know that there is no way we could afford the cystectomy.
We are cancelling the cysto and I am going to talk to his medical oncologist and his radiation oncologist to get their recommendations on urologists that they work with who would be in network and qualified to perform the cystectomy if he needs it. He is planning on going with the ileal conduit because of the shorter surgery time.
Insurance companies SUCK!
BTW: MD Anderson is considered out of network, too!