Re: Insurance - Long

[Guest guest]

, believe it or not, I was a patient of Dr. Compton who is an RNY

surgeon. When I went to see him, he decided that due to several factors,

that a RNY would NOT work for me and referred me to see Dr. . Though, I

must admit that he is the only one that I have heard of this.

Re: Insurance - Long

> I doubt very much that an RNY doc will send you to a DS one. I'll take

best

> that instead s/he will try and convince you that you need the RNY to dump

> and eat out of a medicine cup (2 oz) for the rest of your life. Maybe you

> can have a surgeon that is NOT a WLS to refer you?? And is there a way to

> bypass that requirement? Can a GI doc refer? What you want is not

offered

> there.. and asking a surgeon who chooses not to do the DS to refer seems

> tricky and unfair. Under what conditions may that be waived and the

> referral done by a non surgeon????

>

> in Seattle, cheering on Florida ibdebi's war plan

>

>

> ----- Original Message -----

>

>

> > Have a question for y'all. What a surprise it was to call my PCP

> > office the other day and find out they hadn't sent in the paperwork

> > to the insurance yet. growl... I love kathy in his office, she is

> > the insurance liason. She used to work with the only WLS surgeon in

> > my town so she knows the ropes. She explained to me the best defense

> > is go in fully loaded. So yesterday <friday> she sent to my HMO

> > <BCBS_Health Options, an HMO> 26 pages of documentation. THAT got

> > their attention, <laughing> The nurse called her back within an hour

> > it was already on her desk. Now the rub, she said I of course would

> > be approved,for a bypass but I had to see a surgeon in our network to

> > refer me for the BPD/DS, they didn't even know what it was. Kathy

> > gave me the direct fax to the nurse and I immediately faxed her

> > <which was in the orignal material but I guess she couldn't find it>

> > a description of the DS and comparisions to the RNY.

> > I still have the appointment with the RNY doctor here, but have no

> > idea of his feelings about the DS. or if he would refer me.

> > Any suggestions? Like many of you.. I would take the RNY and be

> > bitterly dispointed but I really want the the DS, I feel its right

> > for me.

> > I'm forming my war plan and would appreciate any and all thoughts on

> > this. Here or privately at vare@....

> > thanks very much.

>

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