Re: Dr. Rabkin and Cigna HMO

[Guest guest]

S,

Sorry to say that Rabkin won't be fully covered unless you go through

either the " Sutter Gold " or " Brown and Tolland " medical groups.

Otherwise he want $12,000 up front and you get back whatever you

insurance considers R & C (usually about $3500).

Dr. Jossart is no longer practicing WLS.

If you live within 35 miles of San Francisco then you best bet is to

switch your PCP to one of the two groups I mentioned (if you are

lucky enough to already be in one of those groups then great, you can

move forward).

If you live more than 35 miles from San Francico then you will

probably either need to be prepared to shell out some bigtime cash or

you can consider Dr. K in Delano or Dr. Anthone at USC (assuming

either of them are in-network).

Good Luck,

Hull

> Hello everyone :-)

>

> I was just reading the posts regarding Cigna and PicificCare and

wondered

> what people's experiences has been with Cigna HMO and Dr. Rabkin,

SF.

>

> I'm scheduled for the initial consult this coming Wednesday, 9/12

and I'm

> hearing conflicting information regarding what Cigna will cover and

won't

> and even if Dr. Rabkin is a listed provider.

>

> At first I heard that Dr. Rabkin wasn't on the preferred provider

list and

> then, low and behold, today I call and he is on the list...hmmmmm.

Did this

> just happen? Dr. Jossart used to be on the list and now he's not

> (puzzling). My initial referral was authorized for Dr. Jossart and

now I

> have to change it asap to Dr. Rabkin if I'm going to try to have

Cigna cover

> the consult fees. HELP!!!!!

>

> Also, what I've been told is that Cigna HMO will pay 100% after the

intial

> $1,000 yearly out of pocket has been met for out of network

providers. But

> now Dr. Rabkin is listed in-network???? Supposedly they'll pay

100% now,

> right?! What does that realistically calculate out to? Is is

truly 100% or

> is that just " customary " fees?

>

> I must admit I'm confused and looking for someone's experience with

them to

> help guide my way. Would appreciate any feedback.

>

> Getting the insurance run-around...

>

> S.

> pre-consult

> Dr. Rabkin, SF