OMG Politics, I'm over it already.

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Chad said:
Then my previous post stands. The same way you plan for it now. Or expand your search. When I worked at UVA medical center, people came in from all over the place because we were the only place that took their insurance.
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I've called every qualified specialist in NYC. Same story. No insurance.
 
Help!I'maRock! said:
I've called every qualified specialist in NYC. Same story. No insurance.
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I call my insurance company to find a doctor (or use their website). You may have to go out if the city maybe even to *gasp* New Jersey :grin:

Even if the specialist doesn't take insurance, your insurance company may reimburse you directly. My wife does that for one of her specialists. I think they reimburse us 80% of the cost.
 
Chad said:
I call my insurance company to find a doctor (or use their website). You may have to go out if the city maybe even to *gasp* New Jersey :grin:

Even if the specialist doesn't take insurance, your insurance company may reimburse you directly. My wife does that for one of her specialists. I think they reimburse us 80% of the cost.
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Insurance doesn't parse for this specialty. Only the general area. I had to call a national association for a list of local providers. Additionally, insurance only covers in-network services. I have to wait to change our coverage until this summer.

And that is all I have to say about it.
 
Help!I'maRock! said:
Insurance doesn't parse for this specialty. Only the general area. I had to call a national association for a list of local providers. Additionally, insurance only covers in-network services. I have to wait to change our coverage until this summer.

And that is all I have to say about it.
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So it's not the doctors don't take insurance, they don't take your insurance/yours doesn't cover. That sucks. Been there. At least you know ahead of time and don't get blindsided by a $1000 bill. So if NY goes to a single payer system, I can't imagine all doctors bailing out on insurance all together.
 
Chad said:
So it's not the doctors don't take insurance, they don't take your insurance/yours doesn't cover. That sucks. Been there. At least you know ahead of time and don't get blindsided by a $1000 bill. So if NY goes to a single payer system, I can't imagine all doctors bailing out on insurance all together.
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The local hospital, where I had my surgery, has started their own medical group...along with the medical group I belong to and a couple others, they are starting to underwrite their own group insurance...at some time in the future it is very possible that they will only accept patients with insurance in their network only...time will tell if existing patients with outside insurance will be grandfathered in...
 
Chad said:
So it's not the doctors don't take insurance, they don't take your insurance/yours doesn't cover. That sucks. Been there. At least you know ahead of time and don't get blindsided by a $1000 bill. So if NY goes to a single payer system, I can't imagine all doctors bailing out on insurance all together.
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It's both. Providers take no insurance from any insurance company. Plan doesn't cover out of network providers.
 
Help!I'maRock! said:
It's both. Providers take no insurance from any insurance company. Plan doesn't cover out of network providers.
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So there is an entire medical specialty that refuses all insurance? I worked in healthcare for years and have never heard of that. That sucks. Hopefully you get something worked out.
 
Chad said:
So there is an entire medical specialty that refuses all insurance? I worked in healthcare for years and have never heard of that. That sucks. Hopefully you get something worked out.
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Like I said earlier, there's not enough qualified providers so they have plenty of work.
 
jelloman said:
The local hospital, where I had my surgery, has started their own medical group...along with the medical group I belong to and a couple others, they are starting to underwrite their own group insurance...at some time in the future it is very possible that they will only accept patients with insurance in their network only...time will tell if existing patients with outside insurance will be grandfathered in...
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The INVOVA health system here, which just about every hospital in the northern Virginia area has started their own insurance. They still take outside insurance. After working along side a medical billing office for a hospital I don't see how they can refuse all other insurance. That would greatly limit their customer base to the point of going out of business. What has happened to me with my insurance now that INOVA has their own, is now my insurance only covers 80% of things done at INOVA facilities. That is how I got blindsided by a $1000 bill. Went for an echocardiogram at the facility I used for years to get hit with a bill after the change.
 
Help!I'maRock! said:
Like I said earlier, there's not enough qualified providers so they have plenty of work.
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That's hard to believe in NYC. Some middle of nowhere town, I get, but one of the largest cities in the world seems odd. Sounds like if I was in that field, move to NY, accept insurance, get rich fast.
 
Chad said:
That's hard to believe in NYC. Some middle of nowhere town, I get, but one of the largest cities in the world seems odd. Sounds like if I was in that field, move to NY, accept insurance, get rich fast.
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Don't accept insurance, charge what you want, make the same money. :embarrassed:
 
Chad said:
That's hard to believe in NYC. Some middle of nowhere town, I get, but one of the largest cities in the world seems odd. Sounds like if I was in that field, move to NY, accept insurance, get rich fast.
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Just because a market for specialists who take insurance exists doesn't mean doctors want to deal with it. A good specialist in NYC can cater only to the wealthy, work normal hours, and run a tiny practice. Bring in insurance and he has to work more because insurance pays less. And he has to hire at least one person just to deal with insurance. And wait on poor clients to cover their portion of the bills.
 
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