/hysicans that don't take your insurance

[Guest guest]

Thanks , I’ll give it a try!

nne

From: VulvarDisorders

[mailto:VulvarDisorders ] On Behalf Of

Sent: Thursday, April 10, 2008 6:55 PM

To: VulvarDisorders

Subject: Re: Tom/Physicans that don't take your insurance

Dear

nne,

I

had a similar problem, actually. I got an MRI done at an approved

facility that accepts my insurance. And they paid for the MRI test.

However, the radiologist at the facility who read the films and wrote the

report was not on my insurance, so they refused to pay her fee, even though she

worked at a covered facility!

After

speaking to the billing departments for the hospital the facility was connected

with, the facility itself, and my insurance company several times, I finally

was able to get them to cover it. However, I had to pay out of pocket and

be reimbursed, because by then the bill was already in collections and my

credit would've been shot by it.

The

thing that was finally successful: call the insurance company and file an

appeal, because the hospital is an approved hospital on my plan. I'm not

sure if it'd work out exactly the same way in your case, but I do hope you are

able to get them to cover it one way or another!

~~

-----

Original Message -----

From: millburytimes

To: VulvarDisorders

Sent: Thursday, April 10,

2008 6:13 PM

Subject: Tom/Physicans

that don't take your insurance

Tom,

the interesting part of this scenario is that the pain clinic is part of the

hospital – it is physically located in the hospital, but somehow it must be a

separate entity as my insurance covers my treatment as part of the hospital

(let's say I was admitted there), but not for treatment from my pain management

doctor who works there. I don’t understand how this is possible. Any ideas???

nne

From:

VulvarDisorders [mailto:VulvarDisorders ] On

Behalf Of K. Ockler

Sent: Thursday, April 10, 2008 12:18 PM

To: VulvarDisorders

Subject: Re: Physicans that don't take your insurance

nne,

YOu can call them and ask them to sign a contract but usually the reason they

are non participating is the insurance reimbursement rates ar so lousy, the

practitioner can't make a buck and actually loose money if they treat you.

There may also be some outrageous policies and paperwork regulations that are

just too much for the practitioner to bother with. All designed to steer

you to the practioners that do accept the insurance compnaies lousy rates and policies.

Tom Ockler P.T.

www.tomocklerpt.com

winterberrypath wrote:

My pain management doctor is out of network insurance for me. It wasn't

too bad last year, but this year the payment is only 30 percent. Again,

I can pay it for just a visit, but I have been getting trigger point

injections and I am considering Botox. The costs are too high for me to

pay for the injections. Someone mentioned to me once, that you can call

the physician's billing office and ask them to sign a contract with

your insurance company. Does anyone know if this is true, or has anyone

tried it?

nne