There are ways to get the insurance co. to pay. First, give them a call and tell them you have tried all the doctors in your area...and none do it under g.a. and because the area is so large, the top vascular specialists recommend laser be done under general a. (mask...light sedation). See what the process is for getting approval. Contact Dr. Hochman's office in SC. I think he is a great option for you. ALso, he is so willing to help. He probably will even write a letter explaining to your insurance co. why laser on PWS is medically necessary, why his laser (top of the line) is best for pws (it has the cooling jets, so the laser can be more intense = better results faster), he can also explain why anethesia is necessary and safe in this case. Also, in my experience (we have had laser done by two specialists), the more experienced laser surgeons know better how much the laser can do... for example we had 5 tx. with our first specialist...then he wanted to stop as he felt the hemangioma was not responding. Well, I did not agree and looked into another doctor that was recommended by Dr. Waner. Our second specialist just did the second (#7 total) on our son...and the first one did more for ligthening the h. than any of the first 5 had done. The only difference was that the second specialist had more experience with vascular birthmarks and knew how much to turn the laser up.
On the MSN site there is a lot of great info on insurance co. that might help you...most of which came from denial of claims and parents WON the appeal. Expedited appeals.