filing insurance claim through PS

[wasatchm]

hi,

need some help.  I have several appointment with PS regarding gyne surgery.  if I have one of these plastic surgeons file a claim for insurance coverage (AND DO GET INSURANCE COVERAGE for the surgery)  is it expected that I will have him do the surgery?     or, should I see all the PS I plan to see,  pic one to do the surgery, and then ask if he will file a claim for insurance coverage.  I have decided I will have surgery regardless of whether insurance will cover it or not.  

what is the best approach to  take in filing for insurance coverage.  I do not want to commit to any one PS till I am sure he/she is the right one for the job.

thanks

BA

[jc71]

they don't approve based on what ps you use.  so first find out if they'll cover it and then decide on the ps.  you're not obligated to use that ps

[wasatchm]

I didn't mean to give the impression that insurance may or may not cover based on the plastic surgeon I choose.  however, I did call member services of my insurance to find out if insurance would cover gyne surgery.   I thought I could take some pictures, fill out some forms send them in and get a response.  she said I would have a surgeon file a claim to see if insurance would cover it.    I was surprise to say the least.

[wasatchm]

I did also talk to another PS today (he also happens to be a professor of plastic surgery at a local university).  I told him what HMO plan I had and with what insuranc company.  he told me,  I would need to have a primary care provider (plastic surgeon) on my HMO plan file the claim for insurance coverage.  I check, and there are only 13 Plastic Surgeons on my HMO plan.  of them, I have no idea how many are experience with gyne surgery.  wish I had a bigger pool to choose from.   guess that's the choices I get for being in an HMO