Guest guest Posted October 27, 2001 Report Share Posted October 27, 2001 , What a fantastic strategy as well as tactful way of approaching this insurance roadblock! I am going to copy your letter for my files when others run into similar issues! You are great! Thanks so much for sharing this advice! Hugs, Theresa > > , > > > > Quick question ...I am also going to see an RNY doc locally (if I > can ever > > get in!!), and the reason I'm seeing one is so that I can have my > DS with > > Dr. Hess ... haha ... > > > > I need something to kick Cigna in the ass to get them to let me go > out of > > network for the DS rather than stay in-network with an RNY. I > thought that > > if an RNY doc would see me, agree that FOR ME, the DS is better, > then Cigna > > couldn't refuse the request for authorization for out of network > benefits. > > > > My question is ... How did you broach your RNY guy? Should I tell > him up > > front what I'm doing? What's the best way to get him to see my > point and be > > willing to back my decision to Cigna? > > > > Any input would be appreciated!! > > > > Bye, > > Donna > > > > > > >From: mkf5t@v... > > >Reply-To: duodenalswitch@y... > > >To: duodenalswitch@y... > > >Subject: my " talk " with Gagner (long) > > >Date: Thu, 25 Oct 2001 22:17:12 -0000 > > > > > > > >After I met with the surgeon in town this morning, I can now say > that > > >I LOVE Gagner. I only went to the in-town guy today because I > wanted > > >to get his official support for the D/S because the local insurance > > >company values his opinion so much. He gave it to me but was so > > >completely disinterested in me and everything I had to say. It > > >really looked like he was having a hard time staying awake. Here's > > >the meat, though: I asked him if he had ever thought about doing > > >(learning--HA!) the D/S and how come he already wasn't doing it. > He > > >said " I don't know; I just don't do it. " And then something about > > >how what he's been doing has been fine and that he's had no > > >problems. Then he quoted some older Scorpinaro (sp?) research and > > >mumbled something about more pronounced nutritional issues. The > jerk > > >either doesn't know anything or was treating me like I couldn't > > >understand anything. I was so angry at his responses (I waited > > >almost 2 hours for this shit; Gagner, only 20 minutes) that I > wanted > > >to run out into the waiting room and tell the other 70 some odd > > >patients (it is a total cattle call in there; maybe there is > > >something to the claim about these RNY doctors making a quick buck) > > >waiting for him to RUN: GO FIND ANOTHER SURGEON AND SURGERY! It > is > > >downright irresponsible for him not to be educating his patients > > >about their options. Later, my mom goes in to see him for her > > >consultation. She asks about what happens to the rest of the > stomach > > >left inside; does it just rot? (My mom is obsessed with this > idea!) > > >Instead of answering his question he says " We've never had any > > >problems. " I am so mad that I want to knock him flat! God help > the > > >people who let him touch them. Here's what's weird, too: my > shrink > > >(MD) says that he's heard wonderful things about him, fine surgeon > > >etc. and Gagner and he refer to each other by first name. > > > > > > > > > _________________________________________________________________ > > Get your FREE download of MSN Explorer at > http://explorer.msn.com/intl.asp Quote Link to comment Share on other sites More sharing options...
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