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Hi Kim...thanks for the feedback. Unfortunately there is specific language in my plan that obesity surgery is not an out of network option..."• Surgery must be performed at a Network or ONA-PPO Provider by a Network or ONA-PPO surgeon. This is true even if there are no Network or ONA-PPO Providers near the Covered Person."
So it appears I am out of luck and will have to travel to find a surgeon somewhere in the state of Louisiana...I have requested the gap request for the office consult twice and been shot down based on the aforementioned clause in our policy.
Did your policy have that specific exclusion? Thanks for your help!
So it appears I am out of luck and will have to travel to find a surgeon somewhere in the state of Louisiana...I have requested the gap request for the office consult twice and been shot down based on the aforementioned clause in our policy.
Did your policy have that specific exclusion? Thanks for your help!
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