@lrlrl I had retinal problems a few years ago and my retinal ophthalmologist told me that the condition I had , vitreomacular traction, could cause a macular hole. It never happened but if it did I would know because of the symptoms that included a sudden change or loss of vision. He said it is an emergency and should be treated quickly. May 2 seems like a long time to wait.

If this was my situation or someone in my family I would call my primary care provider's office and ask to speak with the office/practice manager. This is the person that oversees the business end of the practice including the facilitation of referrals for out-of-network insurance coverage. I'd ask when the practice manager can get the forms signed and out to the insurance company and then contact my insurance company and ask if the forms have been received. If there is still a delay I would keep calling the practice manager and ask again about the forms.

I agree that you and your wife would not want to risk her vision or postpone treatment. You can say this to the practice manager at the primary care provider's office.

Does this information help?