Guest guest Posted August 8, 2005 Report Share Posted August 8, 2005 Big opinion based question for anybody: I have met with two surgeons, one that is in-network, and one that is out-of-network (actually he doesn't take any insurance at all really). Through pre-certification and 2 appeals, I have been approved for the upper jaw for surgery (the lower jaw was denied for cosmetic reasons). My big question is how you determined which surgeon to go to. The surgeon I prefer is very experienced, quite cocky actually, but is very well known for this procedure. He also is the surgeon for the Arizona Cardinals, Phoenix Coyotes, and Arizona Diamondbacks. But by going to him, will cost me about $16,000 at least out of pocket. The in-network surgeon also has quite a bit of experience, has been doing it several years. But he doesn't do as many of these surgeries as he used to. He also cannot perform the septoplasty and tarbimetes, which would require me to have another surgery later on. But the surgeries would be covered for about $1,500. I know money makes a difference in the quality of work done. But I wonder if I am being overly cautious about the in-network surgeon that may be able to perform the surgery just as well. Anyone's opinion would be helpful as my fiancée doesn't seem to want to listen anymore. I think he is sick of me talking about it. FYI, I tried talking to my OD but he is best friends with the out-of network surgeon. Quote Link to comment Share on other sites More sharing options...
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