@Brandy, Some months ago, @lilwider had to acquire a medical insurance advocate to help her fight her medical insurance denial of surgery w/ Dr. Costantino. In various discussions she shared her journey to appeal the denial in some detail. It took some months, but w/ the help of the advocate, her insurance overturned their denial, & she was able to have surgery w/ the doctor of her choice even though he was out of network. If you search @lilwider insurance appeal the links where she discusses her insurance appeal ordeal will come up. You can also PM her to ask for details if you think that would be helpful. Here are a couple of discussion links to get you started.