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medical insurance vent........

Posted By Message

HelenZ
So worth the wait :)

Member since 10/07

2862 total posts

Name:
Helen

medical insurance vent........

so, I make my first appointment today, I'm changing my doctor b/c my SIL had a wonderful experience w/ the practice she's been using, they have a female & a male doctor. I have Magnacare, but the female doctor is out of network (which is who I'd prefer) but oddly the male doctor is IN network. I call Magnacare and the union hall (this is local 3's insurance), and they said the out of network doctor is covered but it will be paid via reimbursement and not through Magnacare......here's the pain in the neck part, they will only allow my prenatal visits to ALL be IN network or ALL be OUT of network. I know usually you see both doctors so you're comfortable with whoever delivers you. this is so frustrating!!!!!!!!!! it's making me rethink changing doctors if I have to deal with this drama!!! Chat Icon

anyone else have to deal with this kind of stuff?

Posted 12/29/08 4:32 PM
 
Long Island Weddings
Long Island's Largest Bridal Resource

Mimms
love my boys

Member since 4/08

2365 total posts

Name:

Re: medical insurance vent........

ugh.....that sounds like a pitaChat Icon
I hope something works out for you!

Posted 12/29/08 4:36 PM
 

tran92
LIF Adolescent

Member since 2/08

732 total posts

Name:
Amy

Re: medical insurance vent........

call the new office. they might be able to bill all the appts through the doc that takes the isnurance. then its not an issue.

Posted 12/29/08 4:45 PM
 

HelenZ
So worth the wait :)

Member since 10/07

2862 total posts

Name:
Helen

Re: medical insurance vent........

Posted by tran92

call the new office. they might be able to bill all the appts through the doc that takes the isnurance. then its not an issue.




I made that suggestion to the receptionist, but she said she wasn't sure if that would be considered fraud lol.....she's checking w/ their billing department to see what they can do and they're going to call me after they speak to the union hall Chat Icon

Posted 12/29/08 4:53 PM
 

Bridex100
Two Under Two Mommy

Member since 3/08

10420 total posts

Name:
Momx100

Re: medical insurance vent........

personally i wouldn't want to deal with the paperwork drama and would try to find an in-network obgyn practice (where all the doctors were in-network). That's just me though. If you don't mind paying out of network co-pays, then just stick with it.

Posted 12/29/08 4:57 PM
 

HelenZ
So worth the wait :)

Member since 10/07

2862 total posts

Name:
Helen

Re: medical insurance vent........

Posted by Bridex100

personally i wouldn't want to deal with the paperwork drama and would try to find an in-network obgyn practice (where all the doctors were in-network). That's just me though. If you don't mind paying out of network co-pays, then just stick with it.



thanks! I'm really hoping I can convince them to just bill me under the in network doctor. I'll check back with them in a few days and figure out what I'm going to do. this stinks.

Posted 12/29/08 5:01 PM
 
 

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