I actually sent this letter to the Harvard Vanguard Patient Billing Department:
I recently inquired my Primary Care Physician (Dr. James Roseto) about my possible deviated septum. He recommended "conservative treatment" before moving on to a ENT specialist, despite the fact that we were both fairly certain that's what it was. He suggested Sudafed, a humidifier and prescribed a nasal steroid. Six weeks later, I saw him again, and the conservative treatments had failed. I was referred to a specialist, who confirmed that it was a deviated septum and suggested a CAT scan to see if there was anything else to be concerned about. I received the scan and was given another appointment with yet another ENT "specialist," Dr. Ralph Iannuzzi. He also confirmed my deviated septum and said that there is sinus inflammation that makes me susceptible to sinus infections. None of this is news to me, of course.
This third doctor suggested more "conservative treatment," prescribing yet another nasal steroid and a Neti Pot or a sinus rinse. He also asked me to return in six weeks, which is where I am now, fairly certain that none of it was necessary.
At this point, I'm about ready to live with my condition, as I have spent considerable time and money (Sudafed, humidifier, 2 steroids and over $60 in co-payments, to be no farther along than when I started) on what is not a life-threatening procedure. It is extremely disappointing, as I honestly feel like I have been given the runaround and taken advantage of. Every visit is taking money out of my pocket for three doctors to tell me the exact same thing, and I want that money back. I have had 4 appointments at $15.00 each, adding up to $60.00, for basically nothing. I am perfectly willing to give all the documentation you need (receipts, etc.) to facilitate this refund. After all, anyone performing a service should stand behind it. If I took my car in for service, and they never fixed the problem, I would not pay for that. Why am I paying you?
I doubt it'll work, but at least my voice has been heard.