My insurance company has asked for a referral from a in network surgeon that does WLS

surgery to an surgeon that does the BPD/DS out of network. How likely is that to happen? I'm in florida and there are NO DS surgeons in the state. Have a question for y'all. What a surprise it was to call my PCP office the other day and find out they hadn't sent in the paperwork to the insurance yet. growl... I love kathy in his office, she is the insurance liason. She used to work with the only WLS surgeon in my town so she knows the ropes. She explained to me the best defense is go in fully loaded. So yesterday <friday> she sent to my HMO <BCBS_Health Options, an HMO> 26 pages of documentation. THAT got their attention, <laughing> The nurse called her back within an hour it was already on her desk. Now the rub, she said I of course would be approved,for a bypass but I had to see a surgeon in our network to refer me for the BPD/DS, they didn't even know what it was. Kathy gave me the direct fax to the nurse and I immediately faxed her <which was in the orignal material but I guess she couldn't find it> a description of the DS and comparisions to the RNY. I still have the appointment with the RNY doctor here, but have no idea of his feelings about the DS. or if he would refer me. Any suggestions? I would take the RNY and be bitterly dispointed but I really want the the DS, I feel its right for me. I'm forming my war plan and would appreciate any and all thoughts on this. Here or privately at [email protected] thanks very much. Debi in Florida pre-op BMI 46 Dr Gagner 1/18 pending insurance approval

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