An Out-of-Network Specialist Makes All the Difference

I read extensively about endometriosis in an attempt to gain my own answers about this condition, and one of the sources for this was Dr. Seckin’s book, which lead me to understand that robotic-assisted surgery does not completely remove the disease, and that advanced endometriosis can cause back and leg pain identical to the kind of pain I was experiencing,…

I initially went to Dr. Seckin to find out the likelihood that endometriosis could be causing the severe low back and leg pain I had been having for years. I had just had robotic-assisted surgery to diagnose and remove endometriosis a few months prior. I chose to consult Dr. Seckin because my first surgeon, who was an oncologist, and multiple gynecologists where I lived were unable to give me an answer to this, nor could they provide any further management options of the disease going forward, other than “we don’t handle endometriosis beyond surgery,” “we won’t worry about it until your pain returns,” and “you may need to have one ovary and your uterus removed eventually.”

I read extensively about endometriosis in an attempt to gain my own answers about this condition, and one of the sources for this was Dr. Seckin’s book, which lead me to understand that robotic-assisted surgery does not completely remove the disease, and that advanced endometriosis can cause back and leg pain identical to the kind of pain I was experiencing, leading me to become even more concerned with finding a doctor that could help me manage the condition.

My insurance company denied my initial pre-authorization request on the basis that there were two in-network providers that could provide treatment. One was not an endometriosis specialist, and he performed robotic-assisted surgery rather than excision. The other was a specialist in Boston who treated endometriosis along with other conditions, and he did perform excision surgery for endometriosis, so I went there for a consultation. He agreed another surgery was necessary, however, he stated clearly he did not remove the disease if it was on any vital organs, out of concern of causing damage to the organ. He also stated that if my pain persisted after surgery, he would refer me to a pain management doctor, as he was unable to prescribe narcotics.

In the months after this, I submitted two levels of appeal to my insurance company, both of which were denied. They were denied on the basis that I had not submitted anything from an in-network provider stating that my first surgery had not been successful, and that I had not submitted anything from an in-network provider that treatment with Dr. Seckin would be materially different from the treatment provided in-network. I had provided to them over eight pages explaining the persistence of my symptoms after my first surgery, the findings of the recent MRI, and the lack of assistance I had received from in-network providers. I also submitted excerpts from Dr. Seckin and other endometriosis specialists, emphasizing the importance of having treatment by an experienced endometriosis specialist that is willing and capable of removing the disease from all areas. I submitted journal articles from reputable sources which examined incomplete versus complete removal of the disease, and disease persistence versus disease recurrence. I emphasized Dr. Seckin’s experience with advanced-stage endometriosis in contrast to the in-network providers, neither of whom specialized solely in endometriosis. I requested my insurance company have my requests reviewed by a board-certified gynecologist with experience with endometriosis, and that they perform a peer-to-peer review with Dr. Seckin. Both appeal denials I received completely disregarded everything I had submitted, and simply stated that nothing submitted was from an in-network provider, and that there are in-network providers capable of providing treatment.

I opted to have surgery with Dr. Seckin and pay out-of-pocket, because I was certain that he was the best shot I had at complete removal of the disease, and relieving my back and leg pain, which significantly affected my ability to walk for two weeks out of the month.  It has been less than two months after my surgery with Dr. Seckin, and my pain level is the best it has been in over four years. This is also the first time in the last year that I feel my condition is being taken seriously, and I do not have to worry that it is not being managed properly. I am certain based on my experiences that I would not have received the same level of treatment from an in-network provider, despite what my insurance company claims.

Patient Reviews

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  • Angela Aro

    I have struggled with endometriosis and adenomyosis since first starting my period at 13. I was diagnosed at 21 and what followed was a series of unsuccessful surgeries and treatments. My case was very aggressive and involved my urinary tract system and my intestines. After exhausting all of my local doctors I was lucky enough to find Dr. Seckin. We…

  • Emi O

    Seckin and Dr. Goldstein changed my life!

  • Kristin Sands

    Like so many women who have tirelessly sought a correct diagnosis and proper, thorough medical treatment for endometriosis, I found myself 26 years into this unwanted journey without clear answers or help from four previous gynecological doctors and two emergency laparoscopic surgeries. I desperately wanted to avoid the ER again; a CT scan for appendicitis also revealed a likely endometrioma…

  • Wilfredo Reyes

    Dr. Seckin literally gave my wife her life back. I am eternally grateful to him for his generous, determined spirit to see that Melanie finally live free from the prison bonds of Endometriosis.

  • Carla

    I am so grateful to Dr Seckin and Dr. Goldstein. My experience was nothing short of amazing. I was misdiagnosed with the location of my fibroids and have had a history of endometriosis. Dr. Seckin was the one who accurately diagnosed me. Dr Seckin and Dr. Goldstein really care about their patients and it shows. They listened to my concerns,…

  • Melissa Boudreau

    When I think of Dr. Seckin these are the words that come to mind. Gratitude, grateful, life-changing, a heart of gold. I feel compelled to give you a bit of background so you can understand the significance of this surgery for me. I am passionate about Endometriosis because it has affected me most of my life and I have a…

  • Jaclyn Harte

    Dr. Seckin and Dr. Goldstein radically changed my quality of life. They treat their patients with dignity & respect that I've personally never seen in the literally 25+ doctors I've seen for endometriosis. This summer, I had a surgery with Dr. Seckin & Goldstein. It was my first with them, but my 5th endo surgery. I couldn't believe the difference,…

  • Megan Rafael Moreno

    I was in pain for 2 years. I was getting no answers, and because dr Goldstein and dr seckins were willing to see and treat me I'm finally feeling almost back to normal. They were very down to earth and helpful in my time of need. Dr Goldstein was easy to talk to and caring, she took care of me…

  • Nancy Costa

    Dr. Seckin is one of the best endometriosis surgeon. Every time I go to the office, he really listens to me and is always concerned about my issues. Dr Seckin's office staff are a delight and they always work with me. I feel I can leave everything to them and they will take care of it. Thank you to the…

  • Rebecca Black

    Fast forward 5 years to find out incidentally I had a failing kidney. My left kidney was only functioning at 18%. During this time, I was preparing all my documents to send to Dr. Seckin to review. However, with this new information I put everything on hold and went to a urologist. After a few months, no one could figure…

  • Monique Roberts

    I'll never stop praising Dr. Seckin and his team. He literally gave me back my life.

  • Erin Brehm

    I had a wonderful experience working with Dr. Seckin and his team before, during and after my surgery. I came to Dr. Seckin having already had laparoscopic surgery for endometriosis 5 years prior, with a different surgeon. My symptoms and pain had returned, making my life truly challenging and my menstrual cycle unbearable. Dr. Seckin was quick to validate my…

  • Anita Schillhorn

    I came to Dr. Seckin after years of dealing with endometriosis and doctors who didn't fully understand the disease. He quickly ascertained what needed to be done, laid out the options along with his recommendation and gave me the time to make the right decision for me. My surgery went without a hitch and I'm healing very well. He and…

  • Nicholette Sadé

    Dr. Seckin brought me back to life! I am now 3 weeks into my recovery after my laparoscopy surgery, and I feel like a new and improved woman! Being diagnosed with Endometriosis, then 25yrs old in 2015, and discovering the severity of my case being stage 4, made me devastated. Dr. Seckin's vast knowledge of the disease, sincere empathy, and…