Here for you at every stage of life

I’ve gone here for years And in December, I had fallopian tube removal for sterilization. I see Kelly Haller, and this time Mary Bierman I saw as well. Mary is definitely the right person for the job. With her personality and demeanor, it made me more comfortable. The surgery was done at the surgery center and of course Kelly and Mary were there as well. I have not had surgery since I was a kid when I had my tonsils out. Afterwards, I had issues with the insurance company and had to appeal some things, but the facility here took great care and helping me with any letters or documents that I needed. That appeal was no fault to them. It was more or so to deal with my insurance. For those that are reading this and may not know this, If your plan is ACA compliant, they by federal law have to cover surgical sterilization at least one form. That means no deductible, No co Insurance, No cost sharing. This is for the supplies, the medications, the hospital or surgery center, recovery room, the supplies needed for that surgery everything. Per ACA guidelines if it’s for preventative care for sterilization, they cannot use medical management to pick and choose what they want to pay for. My plan is self funded and my benefits book says they cover sterilizations in plural which means all types of it. Incidental findings that were found and not treated during that encounter cannot have an effect and make the procedure not preventative unless it was treated. The pregnancy test prior the pathology after for those tubes All are an integral part of procedure. I would highly recommend doing research on this and with your insurance to make sure they’re not grandfathered in. Plans that are grandfathered in do not have to follow this Compliance law however that is supposed to soon be changing. I had my plan Tell me that since they are self funded, they could pick and choose what they want to. Generally, that’s correct however, they cannot choose not to follow a federal law. As of right now, my appeal is taken care of that coinsurance They were trying to charge me and It shouldn’t have. I have about $60 left that I’m still trying to get covered, but a majority of it was taken care of. That all had to do with my insurance not the facility I’m leaving the review on, but I’m adding that in so people will read this and have that general knowledge. Had i’ve given up and trusted the information that the insurance was telling me I’d be paying almost $2000 in coinsurance that by federal law I should not have been paying. I did a lot of research on this and went down a rabbit hole doing a lot of reading from other others that have this issue apparently it’s a common issue the insurance computer not recognizing all this. It has to be coded correctly. Also, the insurance cannot charge coinsurance because the codes aren’t going through correctly they have to override it And take care of it

I had a very good experience at my appt. Everyone was very nice and caring.

Dr.Haller and her staff are simply wonderful !!
I highly recommend.