I was supposed to have my discogram on Friday in Mpls. In Iowa there is no place to get a weighted discogram. Thus, going to Mpls.
The discogram office called on Mon and said I needed to have 5000.00 for the procedure up front as it is out of network. I told the gal it is, but since I cant get it done in Iowa, they would have to pay in network rate. She then told me that they said I have a 10,000 ded and I explained that that was out of network and my in network was 5,000 which after a CT last week was met.
She called back and said they had given her different information each time that she called. So I called my Ortho office that is dealing with it and explained the situation. So yesterday she called me back and said they wont pay in network, if there is anywhere in Iowa that can do it. I called the Ins Co and asked to have a list of in network that do this procedure. Cant give it to me, don't have that detailed info. So how can I get it done, I asked. Ins Co rep told me to ask for authorization for in network rate for out of network because I cant find a Iowa one.
So ortho office called and they said it would have to be checked internally and that they couldn't guarantee me that it would be done by Friday. I have to let the place know on Thursday if I cant do it. The kicker is, I had this done 1 1/2 years ago at the same place and they paid it in network for the same reason. But the Discogram place wants the 5000.00 down, in case it isn't paid that way. Even though they clearly have records for the time before.
My only problem is, I would go ahead and do it, but if for some reason a place turns up in Iowa, I will have to pay the 10,000 out of network charge. And I cant take that gamble. So, I will have to wait for another month for a appointment, because they cant tell me if there is a place here that can do a weighted discogram.
I can get a regular discgram done, but the last fusion, they wouldn't accept the results of it because it is not accurate enough. So I am stuck. Waiting again. They do everything they can to discourage you from going further with procedures that are expensive. Go Figure.
I was so looking forward to getting some answers, and now, its another waiting game. ARRGGGG X(