Out of state insurance plans

[Guest guest]

I operate a peds clinic in Massachusetts that provides OT,PT, and ST. We are

in-network providers for BCBSMA and are having consistent difficulty verifying

benefits for patients with BCBS plans from other states. Does anyone know if

there is a specific rule which determines which state's coverage policies apply?

Is it the state that the policy was written in or the state in which the

services are delivered? What about in circumstances where coverage is mandated

by state law, as with Autism services. Would love to hear other's experiences,

it is getting very difficult to explain to parents.

Diane L. Maxson, MS, OTR?L

Therapeutic Learning Center

Canton, MA