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Laser Spine Surgery And Insurance

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Hello everyone. I am scheduled to have surgery at the Laser Pine Institute in Tampa Florida in mid January. I have a pinched nerve at C7 that causes pain and numbness in my left arm and hand. From what I have read they are a top notch facility. What I am concerned about is the fact that I have to give them $30K upfront and hope that my Humana EPO insurance reimburses me as L.S.I does not contract with any insurance company.

My questions are has anyone underwent surgery at this facility with Humana insurance and how did you fare? Secondly has anyone else had laser spine surgery anywhere else in the U.S. that contract with Humana?

Thanking you in advance,

Art
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replied January 1st, 2008
Active User, very eHealthy
Hello Scooter,

Welcome to this forum.

When I contacted LSI I was told that they would submit their bills to Medicare and then on to my private insurance company. They told me that my upfront costs would be $12,900. No, I have not had surgery at LSI at this time.

Yes, I know that there seems to be a lot a variation, and that my be because of differences between LSI and the insurance company that one has.

Have you checked into the Bonati Instutute in Florida to see what upfront charges they would have if they did the laser surgery?

May I suggest that you also post your above post on the Laser Spine Surgery thread. I know that some who post there have had surgery at LSI and some at Bonati. They would be able to give you first hand information.

Take care. Hope to see you at the LSS thread.

RichT
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replied January 2nd, 2008
Thank You
Just wanted to thank you for the info.
Art
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replied January 5th, 2008
Active User, very eHealthy
Hello Art,

May I ask the scheduled date of your surgery at LSI this month?

RichT
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replied January 6th, 2008
Lsi Surgery
It was scheduled for 1/18/07 but seeing how Humana has flip flopped between we will pay 100% and we won't pay anything several times, I cancelled the surgery. Friday I learned that if the surgeon can justify the surgery in writing that Humana will authorize a one time exception. At this point its just wait and see what the surgeon is willing to put in writing and what Humana wants to hear.
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replied January 6th, 2008
Active User, very eHealthy
Hello Art,

You are proceeding wisely.

AND make sure you get ALL agreements from LSI and Humana in WRITING!! You will need a copy for your own files.

Be very careful with both. What happens if when you get to LSI and they take more X-rays, etc. followed with their own exams and THEN decide they need to add/change what they said they were going to do? Will Humana accept the changes and still cover you or not. That is a very important issue to which you will need written answers from both parties. I have "seen" this happen and it can be pure H for the patient.

Cover your butt well and you will be fine. LOL

RichT
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replied May 5th, 2009
Laser Spine Crippled My Aunt
Be very cautious with Laser Spine Institute. They are owned by a group of venture capitalists who only want your money. They have numerous complaints against them and I should know because my aunt is one of them. She went in for surgery and they operated on the wrong side. She is now in a wheelchair and she is getting an attorney. She choose them after talking with one friend who recommended them and another who recommended microspine. She thought they must know what they are doing because they have this hugh center, etc. Wrong, it is all smoke and mirrors. You go in and your money is gone. If you have a bad result, like my aunt, forget them helpping you. Not going to happen and they won't return your calls. worst of all, no one will touch you afterwards. My aunt finally talked with the other center called microspine and they said they could correct the problem. They seemed to act like they get a lot of LSI's mistakes. She is going to go to that center next month so we'll see if they fix her problem. After all this I looked into the doctors at LSI. Most have questionable credentials and some claim to be board certified when they are not. I looked up the doctors at the new facility that she plans to go to and their resumes appear accurate and they have done research on the actual surgeries unlike LSI who don't have any information to back up their claims. Finally, another disgruntled person told me that Laser Spine Institute is committing Medicare fraud. They said that the doctors there are medicare providers and medicare told them that they couldn't bill cash for anything since the medicare fee for the doc covers all the services including the oprating room. So if you're a medicare patient and you want your money back, just report them to medicare for fraud and you'll eventually get something back. Be wise don't go to LSI.
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