Having trouble finding surgeon

Susan G.
on 4/4/08 10:23 am - Yorba Linda, CA

Hello Everyone, Can anyone tell me how they found a surgeon with their insurance? What a nightmare. I just got insurance but had to go HMO (Blue Cross). Good news they cover the DS/BPD, BAD news, I can't FIND one who takes the insurance? Any tips or suggestions?

Diane C.
on 4/4/08 11:40 am - Highland, CA
Just to the left of your post you will see where it says fuind a surgeon, clink on that and you will find a list of those that take which insurances. Good luck, Diane
FernTate
on 4/4/08 1:34 pm
As it is a HMO you have to go to a person in the network.  Save yourself lots of time and just call the customer service number on your insurance card.  Ask them for the nearest CME for bariatric surgery on your plan.  I goofed and went to somebody local, and he didn't tell me he wasn't on my plan, kept me going months meeting all his requirements, just to find out 4 months later, when they submitted, that he wasn't covered and I had to go to an out of town CME (center of medical expertise).  All I should have done was make that call, and I wouldn't be waiting 6 months later for a surgery date which will probably be months away once I finally get it.  Good luck.  I know the waiting will be worth it in the end, but it sure would have been nice not to get jerked around all this time.  Fern
Dona E.
on 4/4/08 2:37 pm - San Leandro, CA
Hi,  With most HMO's I believe that you need to be refered to a surgeon by your primary care physician. I don't think you can self refer with an HMO like you can with a PPO... I might be wrong but I have had HMO plans before and you always had to get a referal from your primary care to any other specialty in order for the insurance to pay for anything. Just my thoughts.... in any case.. call your plan or ask your primary care doctor for a referal to someone in your HMO network.  Dona
FernTate
on 4/5/08 2:24 am
Thanks.  I'm sure the rash storey would apply easily, and it seems like if I agree to pay the difference after insurance paid part, maybe it would work.  
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