Re:(duodenalswitch) DS Approval Problem

[Guest guest]

Lynette,If the doctor who does the open DS is in your insurance's network, then I doubt there is anyway you can convince them that the doctor isn't up to standards. They do checking before they accept them in network.

The only way you can do it is to convince them that the lap is better than the open procedure for you.

Rita Black10/17/2000 First Consult. Dr.MacuraOpen BPD/DS 4/23/20014/23/01 - 400lbs. BMI 635/1/01 - 391lbs. BMI 615/22/01 - 368lbs. BMI 5832 lbs. gone

>I'm in a similar situation. My choice of surgery isn't in-network. I >decided to have the lap ds. Open ds is done in-network. My PCP will refer >me to the lap surgeon, but I will have to make a case to my insurance >company for laparoscopic surgery vs. open. I also have some concerns about >the open ds surgeon- like he was trained in Poland and he's not a fellow of >the American College of Surgeons. I'm not sure that makes a difference to >the insurance co; anyone got any wisdom on that? In any case, I have to woo >my insurance company for the surgical consultation first. If they approve >that, then they will probably approve the surgery.