Quote:
Originally Posted by golfing eagles
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????????
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Shands
WILL NOT accept the Advantage plan even with the out of network approval or compromise arrangement. No different than the Villages not accepting my supplemental plan.
And yes, I'm still
