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Originally Posted by Buckeye Bob
The key word in the above is "uninsured patients". Medicare is insurance regardless of your secondary coverage.
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I don't think that matter, as far as Shands is concerned, someone with UHC TV MA is uninsured. Let's see what DB has to say, he is the real expert on these type of referrals. All I can say is that I have made hundreds of out of network referrals, had 100% of them approved, and never had a patient give me feedback that they spent big bucks as a result.
Remember, UHC is an insurance company. They never lose. They look at their overhead, look at the cost of paying claims, look at their investment income then set a premium. What I've generally found is that any resistance comes from someone relatively low on the food chain that is guarding the insurer's money as if it were their own. Once you get to a higher level, you get a more reasonable response.