Re: Out of Network Approval

[Guest guest]

I would be sure to read each brochure before changing insurance policies.

There is a section in each policy on how they deal with out of network services. I changed my insurance just prior to putting in for the procedure ... without reading and understanding that when they said Gastric Bypass Reduction was covered ... that it did not mean the DS was covered... just the RNY ---- call the insurance company to be sure ... before you change .. just my opinion based on my experience ...

good luck ...Judi

Judi in MS

Pre-op Surg on 3/6/01

Dr. Kim/Dr. Booth

BMI 59

[Guest guest]

> Has anyone got out of network approval for BPD/DS ? I plan to switch

> to One Health PPO in August and I'm almost positive I will get

> approved for a lap RNY, but no one in network does that BPD/DS, at

> least not in Colorado. Also, would I be able to get it approved

> as 'in-network' since no one actually 'in network' does the BPD/DS ?

Anita-

I have Great West, and yes, you'll have to travel. Dr in GA is

in-network, Dr Rabkins is in-network, & I'm not sure who else.. but I

think it'll be worth the hassle to get what you really want.. right?

Just my .02,

Liane