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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  • Kim Molinaro

    Prior to meeting Dr. Seckin and reading his book, “The Doctor Will See You Now”, I knew little to nothing about endometriosis. I was led to believe that endometriosis was not a serious condition. I was told that the pain could be managed by taking the “pill”. I was told that the cysts on my ovaries were harmless. I was…

  • 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…

  • 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…

  • Jason Curry

    My wife had her laparoscopic excision surgery to remove endometriosis with Dr. Seckin on Jan 30, 2014. She doesn't write online reviews so I'm writing this on her behalf. I accompanied her with each office visit she had. The staff--Lucy and Kim, are very friendly, warm and professional. Dr. Seckin was excellent in every capacity. He spent a lot of…

  • michele curcio

    Dr.Seckin has saved me! My quality of life has improved tremendously! I have my life back plus! I am pain free and with this struggle i had with Endo all of my life, it is incredible to be NORMAL! Ever ever ever so grateful! God bless this man!

  • A Google User

    My daughter was recently treated by Dr. Seckin for endometriosis and I feel blessed that she found Dr. Seckin. The surgery was such a different experience than the prior surgery performed by another physician. Her post operative recuperation was so much better, immediately from the recovery room to the time she was able to return to work. She has much…

  • Liz Filippelli

    He is an awesome doctor who saved my daughters life from debilitating endometriosis..she knew instantly upon awaking from surgery that she was better..that wad May and no complaints only praises for Dr. Wonderful Seckin!!

  • Karen N

    I was diagnosed with Endometriosis at 19. I saw several Endometriosis "Specialists" since then, had a few laproscopic surgeries to "remove" the endometriosis and continued to be in pain. I had a hysterectomy in 2012 and was told this would stop the pain once and for all. No such luck! Tired of spending days in bed with a heating pad, …

  • Lauren Rodriguez

    I researched and found Dr. Seckin after dealing with years of doctors who couldn't help me or refused to go the extra mile for their patients. I have to say I am truly blessed to have found such a compassionate and talented doctor. He is exquisite with everything he does, and both his team at the office and surgical team…