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Untitled Comment
Sherry
Thursday, December 06, 2007 at 05:32 PM -
Check-in with your new HMO
Kimberly Tyler
Tuesday, December 11, 2007 at 01:12 AMDear jwalton,
Changing up insurance from a PPO to an HMO is difficult if your doctors are not considered "in network."
One thing to try is to contact your HMO (your direct care management provider who handles all your claims) and explain the situation to him/her. There may be a way for you to stay with your current therapist given your diagnosis and improvements with this particular therapist. It may mean having to pay a bit more out of pocket, and a letter may need to be written by your current therapist for why changing therapists is NOT good for your heath right now and explain out the benefits (keeping costs down) with your current therapist (as trying to find a good match, less gained from therapy, etc.) will only create more money for the HMO to pay out in the end.
I know it will be a drag, but it is worth the effort to give it a try.
Let us know if this works for you or the type of issues you may or may not encounter as many find ourselves in similar situations.
Best,
Kimberly Tyler
re: Check-in with your new HMO
jwalton
Sunday, December 16, 2007 at 08:53 PMThanks for your reply. I already tried all the things you suggested and the HMO said absolutely NO. It's because my HMO is for Maryland only, since my husband works in Maryland. But we live in Pennsylvania and my doctors are here. The only option they gave is to switch to an opt-out plan, which costs more, and we couldn't even do that until open enrollment, which is months away. Unfortunately, we were led to believe when we enrolled that the plan would cover a limited number of providers in PA, then we found out it covers none. So we switched so we could save money and it created this horrible mess.
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I'm so sorry, I hope you find a good doctor.
I've had great health Ins. all my life but last Feb. I lost my Ins. because of divorce. I can't afford any of these outrageous cost. I've tried so many things and each keeps failing. I'm paying out-of-pocket for my doctors and medician. Thank God for Walmart generic prescriptions! I never thought I'd be in this kind of shape. It's scary! This is a big reason why I've been so depressed!
Hugs,
Sherry