insurance question

I have HMO BC/BS OF MASSACHUSETT FOR insurance. there are no Massachusett nor in network revision doctors.  I want to see Dr. Roslin in New York, but he is out of network per my insurance. so i am in the process of getting a referral from my pcp to see Dr. Roslin, however it is totally up to BC/BS. Of course i am waiting for a response from them.  But does anyone knows the process with insurance when this type of thing happens,(revision done only by out of network doctor) will the insurance approve it if there are no in network drs?

While I haven't had your exact situation I do know my insurance covers out of network docs but at a fasr reduced rate like 50% instead of 80%. However I have heard of insurance covering out of network at a higher rate if there is no other qualified doc in network. So here's hoping they do that for you! I'd suggest appealing if they refuse to cover and ask for a peer to peer review. Good luck!

 thank you for the advice

My insurance won't pay for out of network Revision Doctors as they
don't pay for Revisions.  Only they know what they will decide to pay for.