Quote:
Originally Posted by Dan9871
What decisions do you mean? In TVH there is no requirement to get a referral to go to a specialist... You don't even have to talk to your PCP about if you don't want to.
You are limited to the specialists in the network, but GE has pointed out that is not a practical limit, though you might not agree.
If you need a procedure that cannot be done by any of the specialists in the network UHC MA is required to pay for an outside network qualified specialist if original Medicare would.
If you just want a specialist outside of the network for whatever reason as long as you get an exception from UHC MA they will pay for it. Of course there is no guarantee but UHC most likely would approve.
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That is the basis for my statement. "As long as you get an exception from UHC MA they will pay for it. Of course THERE IS NO GUARANTEE but UHC MOST LIKELY would approve". There are too many variables. Variables which don't sit right with me. After reading posts on both sides of the fence I am leaning towards responding to the survey with, take it and do with it as you will but, I don't want it any longer. That will be my privilege.