Insurance question (kinda long)

[Guest guest]

Okay here goes.....

After being in the military health system for so

long and having no clue how the " real world " works!

I can't get the hang of this crap!

I have a managed care health plan. I have to get

refferals from my primary care physician (who I cant

stand!!!) to get to see a specialist. I did that.

My specialist was a boob! He seems to think that my

symptoms (although textbook ACM) are not ACM related.

He did tell me that I have a 7mm herniation and

diminished CFS flow! WOOPEEEEE tell me something I

didn't already know! FIX IT DAMMIT!

Anyway, if I were to start seeking care outside my

" network " what do I have to do?

Can I get my insurance to pay for it? Will Ihave to

pay out of pocket for this (which is NOT an option!)

I am not sure if I am seeking surgery at this point,

just a ACM knowledgable Dr.!!!! (a very rare breed

apparently!)

I can not under any circumstances pay for this out of

pocket...just not feasable right now!

I need to know how I can plead with the insurance

company to do this!

Any info would be helpful!

Thanks

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