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Hi All,

Seems how at least a few are going out of plan for help, I will share

how I got around the system.

I had already had a standard decompression that wasn't working. My local

neurosurgeons ran every test imaginable and couldn't figure out what was

wrong with me. They still didn't want to refer me out of plan. My

family doctor finally referred me to Dr. Milhorat.

My first request was denied, and I had to appeal. During this appeal

process, I would phone every day, at least once a day. I was finally

approved for one visit. We decided on surgery, and I had to start the

process all over again.

Keep in mind that most HMO's will drag their feet when approving an out

of plan proceedure. I started calling every day again, and was denied

the first time. They sent one letter out at a time to my, primary doc,

neurologist, Dr. Milhorat, and my local neurosurgeons. They would wait

for a response and then move on to the next letter.

I was getting very frustrated so Jeff (my husband) talked to the people

in his benefits department. They phoned the HMO and I was approved that

night. It really helped to get them involved. I had been told that

morning that they still had to contact my local neurosurgeons!

Good luck, and don't give up.

Kathleen

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