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Re: HMO coverage From: Alyson (anonymous@obgyn.net) Mon Aug 21 15:12:11 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Alyson: "Re: First time" Previous message: Alyson: "Re: Need advice on how to talk with my dr about a lap and options" In reply to: Amber: "HMO coverage" Next in thread: anonymous@obgyn.net: "Re: HMO coverage" Amber, Have you talked to the folks at CEC about this? I have been told they are very helpful in arming you with the info you need to fight the insurance company on this. The HMO will almost always tell you no on the first go around. I think you can eventually get them to cover a percentage based on the fact that there is no specialist available in network. Again, I'd call the CEC for some advice on this. Alyson At Mon, 21 Aug 2006, Amber wrote: > >Has anyone had any experience getting coverage out of network with their >HMO? I have Optima Health HMO in Virginia and they said they will not >cover laproscopic excision at the CEC in Atlanta. I know there are no >doctors in this area that can perform that surgery, my doctor already >said all they can do is laser it off the surface which does not work. If >anyone has any advice on dealing with your HMO please let me know. Thank >you, >Amber Next message: Alyson: "Re: First time" Previous message: Alyson: "Re: Need advice on how to talk with my dr about a lap and options" In reply to: Amber: "HMO coverage" Next in thread: anonymous@obgyn.net: "Re: HMO coverage"

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