Need Help - Hunterdon County

HELP!!!!!!!!!!!!!!

I was just informed that I cannot use my doctor for my surgery because he is out of network.  I am SO confused because my medical plan seems to be doing EVERYTHING they can to avoid paying for this surgery.  First he was okay - now he isn't.

So, does anyone know a surgeon in Hunterdon County that might be in the United Healthcare network?

Thanks so much - I am just seething!

Amy

Well the first question I would ask is if you have OON benefits.........I am using Dr Andrei and I have Oxford with OON benefits it is covered and  the Dr's office said they do not balance bill for that.  Did they agree to it and then deny it? Shannon at his office is pretty good with that stuff did you talk to her?

Hi Jennifer,
Yes, I spoke to Shannon...she is actually going to try again to see if there is something we can do. 
According to my provider, they have OON benefits for almost everything EXCEPT WLS.  Nice, right?
Amy

That really stinks!! Fortunately I started a new job in April and when it was time to pick my insurance I specifically picked a plan that covered it and it was approved in less than 1 week of going to meet with the doctor. I have Oxford and they seem to have great benefits. Well let me know if there is anything I can help you with Jennifer

Check with Dr. Jean Baptiste's office if they take United.  I know they take Oxford.  He is an excellent surgeon.  It might be a hassle to come from Hunterdon (I grew up in Sergeantsville) but he is definitely worth the drive.

And I did all my pre-op testing at HMC because I keep my primary care doctor in Flemington.  Good luck with straightening this out.

My Primary is in Flemington too, and I live right next to Sergeantsville (Kingwood)...small world.  Thanks for the info - I will check it out.
Amy

Amy,sorry to hear about the hassels of insurance.If you have to switch check out Barix in Langhorne.They have a great facility & awesome surgeons.I live in Washington & go to their support group every month & I go through Kingwood (I take the back roads)& it it isn't a bad drive.My primary is in Pattenburg & I did all my prestuff here in our neck of the woods.Best of luck

Thanks so much.  Do you have to use those doctors to join the support group?  Sounds good!
Amy

Everyone is welcome no matter who you use.The post op is every third Wednesday @ 7 pm in the lobby.Barix is @ the Oxford Valley Mall,well next door but you access it through the parking lot.They also have a preop group on the 2nd Tuesday of evry month @7pm
Gastric Bypass Surgery - Lap Band Surgery - Bariatric Surgery | Barix Clinics
Here's the link to their site