Right side, half way down, in purple. "I'm looking for a provider..." _________________ Life moves pretty fast. If you don't stop and look around once in a while, you could miss it. - Ferris Bueller
I need an asprin _________________ **************************************
Life gaurantees a chance NOT a fair shake
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FIND a way EVERY day to lighten the load of another
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Three quarters the way down next page. Right column. Third one down. _________________ Life moves pretty fast. If you don't stop and look around once in a while, you could miss it. - Ferris Bueller
Oh LIG you got in trouble in school alot for talking out didn't you... _________________ **************************************
Life gaurantees a chance NOT a fair shake
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FIND a way EVERY day to lighten the load of another
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_________________ **************************************
Life gaurantees a chance NOT a fair shake
**************************************
FIND a way EVERY day to lighten the load of another
**************************************
Hey LIfe thats what I got for senior personality too...class clown...My kids still hold it over my head when they get in trouble at school...By the way that was a really good one...you got a smile on my face but I can see Lori just shaking her head...
you got a smile on my face but I can see Lori just shaking her head...
Then my work here is done. _________________ Life moves pretty fast. If you don't stop and look around once in a while, you could miss it. - Ferris Bueller
Bobbie,
My hubby's company just got bought out and they have this insurance, you need to visit their website and check for providers in your area.
IF there are none there it is going to be up to you to establish that network, they have a "nominate a provider" section. So if you have a physician that you prefer you can nominate them and they will have to go through the process.
This applies to eye and dental also. goodluck and be patient with the process it may take a few weeks, so you need to get it in place so it is there if you happen to have an emergency.
let me know if you need help, being the chick of the house, I had to do all of this:) I will be happy to help you.
Bobby good natured is right all carriers have a list, you can check on line or request one be mailed to you...take her up on her offer of help if you need it...(thanks good natured)
Quote:
Ok, guys lets get back on topic here, huh???
Thank you good natured...this is EXACTLY the type of stuff we need to work on ok? _________________ **************************************
Life gaurantees a chance NOT a fair shake
**************************************
FIND a way EVERY day to lighten the load of another
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I know Lori, we can all help each other out here. LOL
Bobbie,
A few more things that I forgot to mention. We had highmark before this new company took over and introduced this new plan. I have to let you know that our vision provider was not open to do all the paperwork involved in getting on the provider list and this is their choice. We paid for the appointment and the glasses and then the pchs carrier reimbursed us, so you may want to start two dialogs to figure out how to handle this.
1. Check with your provider and see if they are willing to do the paperwork to become a member of the pchs network, some of them are hesitant, you may have to find a new provider if this is the case.
or
2. Talk to the pchs side of the house and let them know that you have problems getting providers to sign on, ask them what reimbursements are available to you or what they suggest to get providers on board.
If you have to get providers on board, then it will definately take some leg work and follow up on your part. Stick with it and keep an open dialog going until you get the results that you need, it is your coverage.
Good advice GN. I think sometimes providers do not sign on because they have to take a cut in what they actually get paid. For instance the dentist bills a non insurance holder $75 to fill a cavity but if they sign up with a health insurance provider they have to accept $55 as a final payment and can not bill the member the remainder of the fee. I think sometimes those of us who have insurance do not fully recognize the number of people with out it or those who don't have certain coverages like eye and dental. So some health care providers may see more of an income from those who self-pay.