fredfillmore

The best thing you to get the answers to your questions is to dialogue directly with your health plan ... their phone number is on your ID card. Tell them what you're looking at, and ask them what their guidelines are. If you feel you don't the service or the answers you need, then ask the rep how to go about the process of filing a "grievance." This is HMO-speak for elevating the issue to the next level, and they'll ensure that you have the info you need. Good luck.