Revision from RNY to DS - surgeons?
I've run into a snag with seeking my revision from RNY to DS. I have Aetna Open Access in Ohio and they have advised that Dr. Rabkin is not in-network so I would have to self-pay.
Anyone else have Aetna? If so, what surgeons are considered in-network? If the procedure is covered for in-network but there are no surgeons in-network, how can they just deny it?
Help!!
Anyone else have Aetna? If so, what surgeons are considered in-network? If the procedure is covered for in-network but there are no surgeons in-network, how can they just deny it?
Help!!
Traci-
I suggest you post this over on the DS forum, there is much more traffic over there. I have read about the in-network and out-of network insurance. I have seen SUCCESS at having a doc who was out-of network approved.... I personally do not remember who & how, but I KNOW that the DS forum will have an answer and some insurance advice for you on your journey!!!!
Hope that helps!!!
-Jamie
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
Don't have Aetna but Blueshield of CA HMO. With my insurance since they didn't have someone in network who could perform it they had to find someone EXPERIENCED to do it. They ended up choosing Dr Rabkin for me. My medical group tried to tell me that I had to self-pay too. I had to fight for it and go all the way to an Independent Medical Review, but since the surgery was medically necessary they had to pay for it. I said all of that to say this, APPEAL APPEAL APPEAL!!!!!
WHEN LIFE KNOCKS YOU DOWN TO YOUR knees, JUST REMEMBER THAT YOU ARE IN THE PERFECT POSITION TO PRAY. HW 395, RNY 4/2/07 345, Lowest Weight 248, Revision to Distal RNY 1/13/09 278,Revision to DS 10/15/10
Have you tried Dr. Ara Keshishian, www.dssurgery.com. He and Rabkin are the best!
SW 358/CW 201/Goal - anything below 160
Angel to TEAZ (Michelle) 
On November 28, 2010 at 7:32 AM Pacific Time, Debbie M. wrote:
Have you tried Dr. Ara Keshishian, www.dssurgery.com. He and Rabkin are the best!Actually, Husted is more experienced than Dr. K.
Previously Midwesterngirl
The band got me to goal, the sleeve will keep me there.
See my blog for newbies: http://wasabubblebutt.blogspot.com/
The band got me to goal, the sleeve will keep me there.
See my blog for newbies: http://wasabubblebutt.blogspot.com/
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