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Keep up the good fight Mary! It's ridiculous that an insurance co. that doesn't know any more about PD than the definition of it in some medical text, should be allowed to make decisions about the best care for it. One idea. If worse comes to worse and finances make it necessary for you to skip a visit to the PD specialist, could you make a deal with him and your family dr. (not a neuro) that the family dr. could call the PD dr. for consultation if needed? A phone consult between your PD spec. and your regular dr. shouldn't cost as much as an office visit. (But you might want to find out the cost for sure if they agree to this, so you won't be shocked by the bill.) I had such an arrangement for my dad once. It worked fine for moderate med. changes and allowed the family dr. to get some extra info on PD that he would never get otherwise. But some doctors are SO egotistical they won't consult anybody. Hope yours isn't one of those. Like good men (and women), good doctors are sometimes hard to find! Vicki Peyton [log in to unmask]