mcrh.org
*Home>>>HMO

HMO issues?


My HMO confirmed my PCP online and my mail-when I went-they refused to pay-denying that my PCP is my PCP-I complaned to the state-and tehn they said ok-it is your PCP-but the office is not the office-and routine treatment for a throat infection is not covered (It's supposed to be)

whtat else can i do-i cannot afford a lawyer

they initially denied my appeal-still inisting that the PCP they say is the PCP isn't the PCP

How long does it actually take to get to the mediation level-there are multiple levels of appeals before it is referred to remediation-and tehy took over 30 days for the 1st appeal....

They should have a mediator (customer service)that you can talk to at the HMO

Tags
  Hospice Care   Horner Syndrome   Hormones   Homosexuality   Homeopathy   Hodgkin Disease   HMO   Hives   HIV   Histoplasmosis   HIPAA   Hip Replacement   Hip Disorders
Related information
  • PPO vs HMO health coverage?

    Personally, the $200 deductible is not much of a difference. The 10 percent, however, could end up being a lot of money. Also, your HMO may include more preventive services (routine doctor visits, ...

  • Ppo vs hmo ?

    If your employer is offering free PPO coverage, I'd go for it. You are young and healthy, but if you have a hospital stay, the deductible would be manageable. You might think of saving at le...

  • Picking an MC+ HMO?

    You should receive a list of participating providers who accept the HMO... then it's your choice of who to go to.

    ...
  • Dental hmo or ppo?

    Ok first off, an HMO is usually cheaper. Most dental plans are nothing like health plans so be careful. 90% of plans are what they call 100-80-50 plans 100% coverage for preventative, cleanings xra...

  • HMO or PPO.. I need to decide!?

    if you are relatively healthy and your family doctor is in the HMO, go with the HMO. if you're a hypochondriac or want to be able to go to any specialist you want without a referral, go PPO. ...

  • HMO and PPO..whats the difference?

    HMO is a Health Maintenance Organization the health care provider signs a contract with the insurance to provide services listed under the contract. This require pre-authorization before test and p...

  • I have HMO and i have get surgery can i go to any hospital?

    Sure you can go. But don't expect the HMO to pay for all or maybe even any of it. Unfortunately, the nature of HMO coverage is often, wait... It may be, however, that the surgeon just does...

  • Does my hmo cover me in foreign countries?

    Check with your insurance. Most don't

    ...
  •  

    Categories--Copyright/IP Policy--Contact Webmaster