Author Topic: FFS with Drs. Kleinberger & Shih (formerly Dr. Roop Gill), Kaiser NorCal  (Read 3125 times)

0 Members and 1 Guest are viewing this topic.

Online Michelle_P

  • Transgender veteran, advocate, and public speaker
  • Family
  • *****
  • *
  • *
  • *
  • Posts: 3,652
  • Reputation: +45/-0
  • Gender: Female
  • Voices for Transgender Equality member
And, the first of the bills has arrived...  For the hospital, 9 hours of OR time and one night’s stay:





Sent from my iPad using Tapatalk
Earth my body, water my blood, air my breath and fire my spirit.

Electrolysis - Hours in The Chair: 230 (8.5 were preparing for GCS, five clearings)
On estradiol patch; Full-time Oct 22, 2016; GCS Oct 20, 2017; FFS Aug 28, 2018

Online Donica

  • *
  • Posts: 408
  • Reputation: +4/-0
  • Gender: Female
  • I am smiling! Honest!
Oh my! That's 3 time the total amount I read about in another forum. This does go toward your annual out of pocket right? My hospital stay per day is $250 and total annual out of pocket is $4400. Thank you for sharing this and please share what happens next?

Donica.
Rebirth June 9, 2017. Started HRT August 22, 2017. Came out June 16, 2018, Full time July 9, 2018.

Online Steph2.0

  • AKA Galaxy Girl
  • *
  • *
  • *
  • Posts: 2,311
  • Reputation: +16/-0
  • Gender: Female
  • Replacing existing with living
And, the first of the bills has arrived...  For the hospital, 9 hours of OR time and one night’s stay:





Sent from my iPad using Tapatalk

Oh... wow. The quoted costs for my facial surgery are a fraction of the total gross on your bill, but with my “insurance” I have to pay it all, and go out of the country to make it even close to affordable. This was Kaiser Permanente? I don’t think that’s available to me.

Stephanie


Assigned male at birth 1958 * Began envying sister 1963 * Knew unquestioningly that I was female 1968 * Acted the male part for 50 years * Meltdown and first therapist session May 2017 * Began HRT 6/21/17 * Out to the world 10/13/17 * Name Change 12/11/2017 * GCS Consultation at Mt. Sinai 3/16/2018 * Began FFS Consultations June/July 2018 * FFS Consultation with FacialTeam 8/30/2018

Online Michelle_P

  • Transgender veteran, advocate, and public speaker
  • Family
  • *****
  • *
  • *
  • *
  • Posts: 3,652
  • Reputation: +45/-0
  • Gender: Female
  • Voices for Transgender Equality member
The amounts are supposedly the “usual and customary” charges. Then the HMO insurance side pays a discounted amount, and I have to pay my copay and deductible.

I’m at the Max Out Of Pocket amount already and won’t owe anything additional.

By the way, that bill doesn’t include the “professional” charges for the surgeons and anesthesiologist.  Yow!


Sent from my iPhone using Tapatalk
Earth my body, water my blood, air my breath and fire my spirit.

Electrolysis - Hours in The Chair: 230 (8.5 were preparing for GCS, five clearings)
On estradiol patch; Full-time Oct 22, 2016; GCS Oct 20, 2017; FFS Aug 28, 2018

Offline Sarah1979

  • *
  • Posts: 79
  • Reputation: +3/-0
  • Gender: Female
Michelle, may I ask how you chose your FFS surgeon? I think after HRT and a bunch of electrolysis, this is the next step I'll need to take in my transition.

Offline Laurie

  • *
  • *
  • Posts: 8,407
  • Reputation: +43/-0
  • Gender: Female
She hasn't received my bill for services rendered covering 10 days. And I do not accept insurance!

Online Michelle_P

  • Transgender veteran, advocate, and public speaker
  • Family
  • *****
  • *
  • *
  • *
  • Posts: 3,652
  • Reputation: +45/-0
  • Gender: Female
  • Voices for Transgender Equality member
Post-op +21 days.

There is still a little bit of bruising, fading away.  The sutures in the mouth are breaking down, and the swelling on the jawline is slowly decreasing.  The jaw is not tender any more, but the left Masseter muscle is still a bit sore.

Here’s me with a cosmetic cover-up over the bruises.



Sent from my iPad using Tapatalk
Earth my body, water my blood, air my breath and fire my spirit.

Electrolysis - Hours in The Chair: 230 (8.5 were preparing for GCS, five clearings)
On estradiol patch; Full-time Oct 22, 2016; GCS Oct 20, 2017; FFS Aug 28, 2018

Online Michelle_P

  • Transgender veteran, advocate, and public speaker
  • Family
  • *****
  • *
  • *
  • *
  • Posts: 3,652
  • Reputation: +45/-0
  • Gender: Female
  • Voices for Transgender Equality member
She hasn't received my bill for services rendered covering 10 days. And I do not accept insurance!

Uh oh...  Honey badgers!  To the ramparts!

Michelle, may I ask how you chose your FFS surgeon? I think after HRT and a bunch of electrolysis, this is the next step I'll need to take in my transition.

Drs. Kleinberger and Shih work for Kaiser NorCal, and happened to be the default surgeons for this within Kaiser.  Dr Kleinberger trained under Dr. Jeffery Spiegel of Boston, a very good FFS surgeon.  His technique makes relatively subtle changes, avoiding the obvious “You’ve had work done!” look.  I preferred the more subtle changes, partially as they will age better, as well as look better now on an older woman. (I’m 64)  The drawback is that he had an extraordinarily long waitlist, and was doing 40-50 FFS patients a year.

I filed a grievance and was shifted to another surgeon new to the system in the Sacramento office.  I was evaluated and put in the queue to be scheduled in a few months when the doctor suddenly left Kaiser.  With all of the Sacramento doctor’s patients left hanging, Kaiser granted Dr Kleinberger more Operating Room hours, and added many patients, including me, to his queue.  I was scheduled for August 28, 2018, much better than the old estimate of mid-2019.
Earth my body, water my blood, air my breath and fire my spirit.

Electrolysis - Hours in The Chair: 230 (8.5 were preparing for GCS, five clearings)
On estradiol patch; Full-time Oct 22, 2016; GCS Oct 20, 2017; FFS Aug 28, 2018

Online Steph2.0

  • AKA Galaxy Girl
  • *
  • *
  • *
  • Posts: 2,311
  • Reputation: +16/-0
  • Gender: Female
  • Replacing existing with living
She hasn't received my bill for services rendered covering 10 days. And I do not accept insurance!

But I’ve heard that you do accept alternate forms of payment...


Stephanie


Assigned male at birth 1958 * Began envying sister 1963 * Knew unquestioningly that I was female 1968 * Acted the male part for 50 years * Meltdown and first therapist session May 2017 * Began HRT 6/21/17 * Out to the world 10/13/17 * Name Change 12/11/2017 * GCS Consultation at Mt. Sinai 3/16/2018 * Began FFS Consultations June/July 2018 * FFS Consultation with FacialTeam 8/30/2018

Online Faith

  • *
  • Posts: 1,155
  • Reputation: +8/-0
  • Gender: Female
But I’ve heard that you do accept alternate forms of payment...
Stephanie

Fridge Chocolate !!!

You know, when you're scrounging around the house and can't find any. You look on top of the fridge and there is that bit of leftover chocolate with the wrapper all peeled up and waving. Who cares if it's a little whiter than it used to be. That chocolate is worth it's weight in gold ... well, maybe not, but still .. :D



I am who I am

Online Michelle_P

  • Transgender veteran, advocate, and public speaker
  • Family
  • *****
  • *
  • *
  • *
  • Posts: 3,652
  • Reputation: +45/-0
  • Gender: Female
  • Voices for Transgender Equality member
But I’ve heard that you do accept alternate forms of payment...


Stephanie
Earth my body, water my blood, air my breath and fire my spirit.

Electrolysis - Hours in The Chair: 230 (8.5 were preparing for GCS, five clearings)
On estradiol patch; Full-time Oct 22, 2016; GCS Oct 20, 2017; FFS Aug 28, 2018

Online Faith

  • *
  • Posts: 1,155
  • Reputation: +8/-0
  • Gender: Female



I am who I am

Offline Laurie

  • *
  • *
  • Posts: 8,407
  • Reputation: +43/-0
  • Gender: Female
I just gained 10 lbs

  Not really Faith. Her servings will only add 3lbs.. If I dished it up you might gain 15....

yes they were good.

Hugs,
  Laurie

Online Donica

  • *
  • Posts: 408
  • Reputation: +4/-0
  • Gender: Female
  • I am smiling! Honest!


IDK Laurie? That looks like a sufficient form of payment to me. Fit for an Angel.
Rebirth June 9, 2017. Started HRT August 22, 2017. Came out June 16, 2018, Full time July 9, 2018.

Online Donica

  • *
  • Posts: 408
  • Reputation: +4/-0
  • Gender: Female
  • I am smiling! Honest!
Oh, I just realized that bottom picture is a <<<<PIZZA>>> :D.
Rebirth June 9, 2017. Started HRT August 22, 2017. Came out June 16, 2018, Full time July 9, 2018.

Tags: