HELP! My doc sent me a letter, they no longer participate with my insurance!

Sunta · August 31, 2006

I am so upset right now I don't know what to do. This morning I received a letter from my doctor stating that his practice has decided to stop participating with my insurance company! I was banded in February of this year and have been to his office for fills and even an unfill. Now I have NO coverage for any aftercare! I called my insurance company and they said it's my doctor's decision and there's nothing they can do. Apparently there were some negotiations that went wrong between my doctor and the insurance company (Blue Cross Blue Shield). What will happen to me if I need an emergency unfill again but can't afford it? Or God forbid I need to have my band removed in the future? I am devastated.

sweetviolet · August 31, 2006

i presume you still have bc/bs....and there are surely other doctors you can go to in your area--call your provider and have them suggest another doctor in your area to take over...don't panic!! you WILL have success!!

Mvpo8961 · August 31, 2006

Sunta check with your insurance company to see what other doc is on your plan and see if you can get in touch with them if you need emergency treatment.

However a lot of times the situation between the doc and the insurance company will work itself out in a few weeks to months. Most people can't pay cash for health care and the docs need to be able to be part of a health insurance network for many different insurances or they really limit their patient pool. BC/BS is a major insurer all across the country. So you might want to give it sometime to see if all works out. The worst is you could selfpay to see your current doc while you seek another surgeon that is approved by your insurance.

M

Nana~ · August 31, 2006

I too am going thur something LIKE that. I went from UHC ppo to atena ppo because of work ins. I now have to pay 175.00 per fill when it use to be 20.00! I cant wait until work lets us change ins comp. again!

nana~