Quote:
Originally Posted by Buckeye Bob
I had DBS (Deep Brain Stimulation) done at Shands for essential tremor by Dr. Kelly Foote who is one of the worlds best at this type of surgery. The insurer may approve going out of network but Shands will not accept the Advantage Plan. I wouldn't have trusted this brain surgery to anyone but him. |
First of all, if the insurer approves going out of network, it doesn't matter that Shands doesn't accept UHC MA---that's why they are out of network in the first place---the insurer pays them their usual fee or makes some sort of compromise arrangement.
Second, this is a rather unique treatment that is not available just anywhere---the odds are that the out of network referral would be approved. The only time that it wouldn't be is if there are many specialists in network who do the same procedure and you just WANT this particular doctor/hospital. And even then, in my experience, one phone call from your PCP to the medical director at UHC will get the approval.
Are you STILL ROFLYAO????????