This might be my longest review, so be prepared to read for a bit. You may thank me in the end.
So you usually go to a doctor for help. Sometimes you need a special doctor who has a particular skill.
When you go to this doctor looking for help, & explain your horrific journey that brought you to him, and he listens, & "seems" to genuinely care, it gives you hope. Because nothing is worse than needing help & having a terrible time getting it.
The help that you need is *not* considered "cosmetic" in your particular situation, & you know for a fact that your insurance will, in fact, cover the cost of the procedure.
This doctor is in your "plan" & (allegedly) accepts your insurance. All that's needed is a prior authorization.
You found it a bit odd that this doctor was suggesting alternative procedures to fix this issue, which he admitted to knowing they would NOT be covered by insurance. Even though you were VERY clear you only wanted to go through your insurance. Yet… he persisted.
Not just one alternative, but several. When you're firm about *only* going through insurance, he assures you it isn't a problem & that if necessary, he can acquire the specific items needed to complete the procedure.
In fact, this doctor personally knows the doctor who previously did this procedure on you, & called his assistant (in front of you) for help regarding which billing codes to use.
You're told that an "expedited prior authorization" would be submitted & to expect to hear back from his office very soon.
You leave this doctor's office with the ability to exhale. You've had a terrible & long journey, but you've finally found someone who cares. Someone who will fix your problem. You're happy. No, you're elated.
But when you get a call from this doctor's office not 3 hours later, telling you "your insurance won't pay for the procedure", you're confused.
You ask how the insurance company was able to make a decision on a prior authorization so quickly. Within hours. Late in the day, no less.
You're told that your insurance company considers the procedure as "cosmetic" & they won't pay for it.
When you ask if they actually contacted your insurance company, they then tell the truth & say "that's what our billing department said".
You ask if they could proceed with the prior authorization & you're told they'd call you "right back".
And so when you get home, you call your insurance company in tears to ask them if, in fact, they consider this procedure as "cosmetic".
They confirm that it is NOT considered cosmetic, & the doctor most likely just didn't want to do the procedure for the insurance amount that he'd be paid.
But you give this doctor the benefit of the doubt, & wait for a call back. Ten days, to be exact. And you never hear from his office. The insurance company confirms that no prior authorization was ever submitted.
The hope. The relief. It's all gone.
In all the years I have been Yelping, I have *never* felt the need to write a poor review for a doctor. Someone who has taken the Hippocratic Oath in which it states, "I will use treatment to help the sick according to my ability and judgment, but never with a view to injury and wrong-doing."
This doctor is different. I grappled with leaving a poor review, but it is the truth, & I believe it should be told.
It should be noted that after I left a different review on a different site, I was called repeatedly, texted, & emailed to the point it was harassment. They wanted me to remove my experience, even though it was the truth.
It should be noted, at that first appointment, I was advised that I needn’t pay my copay, as it was “only considered a consultation.” Yet SIX MONTHS later, they make the decision to go ahead & bill my insurance anyway & subsequently send me a bill for my copay. Very untruthful & UNBELIEVABLY UNPROFESSIONAL!
And should you choose to see this doctor, you should take this review into consideration.
On the surface he is caring, he is helpful, & he is kind.
But in the end, he cares more about lining his pockets than helping his patients.
Read More