I started out with the VA; getting an ortho consult. I asked this VA Orthopedist MD for a resurfacing referral. He said I would be a good candidate for resurfacingl and got a referral to the regional VA ortho center in Raleigh, NC.
Then the fun, bureaucracy, began! Raleigh was too busy to even give me an initial consult appointment date It is a good thing that the VA has multiple ways to try and correct the nonsense.
VA Fayettevile, my home clinic, could not give me a out of system voucher unless Raleigh's wait list was "too long". And since I didn't have an appointment date that was an unreasonable wait...
After multiple calls to patient's advocates, Director's offices, and congressional liaisons about both locations my situation was recognized and resolved with vouchers to the local provider of my choice.
This surgeon and practice are locally well known and thought of with recommendations coming from several directions. And though HRs are on his webpage, he disparaged, criticized HRs and recommended a THR for me and suggested first tryingr non surgical injections. We tried a cortisone shot into the hip. Symptoms returned in 3 days. We discussed next trying a lubricant, hyaluronic acid, shot. After all of this, the provider I chose was too busy and I fell through some crack and they never scheduled another follow up.
Meanwhile, I enrolled in Federal Employees Plan, FEP BC/BS. This was at least a one year committment, $180/month.
Feb3, 2014, I went to Manhattan's HSS, Dr F Boettner, just to get another opinion on getting an HR. I appreciated that Dr Boettner did not push, seel HRs. In contrast to me previous experience locally about getting a THR. To the contrary, Dr Boettner had me advocating why my quality of life and life style preferences required an HR. We had a meeting of minds within 15 minutes and a surgery date (Feb 28) 5 minutes after that!
I can not say enough about my wonderful treatment at HSS. From the receptionist, food push, floor sweeper; everyone was positive, helpful and proud of their part at HSS. Additionally, I am HAPPY (so far so good!) with my outcomes, progress, and mobility.
FEP BC/BS - Out of pocket medical costs; hospital ($250), Physician vists consults copays x 6 ($180), not covered, anesthesia ($500), radiology ($500), surgery ($950)