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Old 03-03-2013, 12:23 PM #1
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MelodyL MelodyL is offline
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Join Date: Aug 2006
Posts: 8,292
15 yr Member
MelodyL MelodyL is offline
Wise Elder
MelodyL's Avatar
 
Join Date: Aug 2006
Posts: 8,292
15 yr Member
Default My friend does not know what to do

Okay, so far here is her story.

She's a woman in her 60's on SS Disability. She has an HMO. She has a lot of health issues, various conditions and is in the middle of going for tests, biopsies, etc. etc.

She was just told that ALL of her doctors are no longer in her network. They did not give her any notice. They just said "As of March 1, we are not in your network and if you come to us you have to pay"

Like I said, she is in the middle of all testing and such, needs more biopsies, and even her health care provider is not in her network anymore. Her prescriptions will soon run out.

I told her "you need to get a new health care provider immediately". Then you can deal with the rest of the stuff. You need to be able to get your prescriptions written". I then said "I don't think what they are telling you is legal, but I will post your problem on the forum and see what answers people come up with'.

So I think she needs to call a lawyer or advocate to advise her what her rights are.

She lives in Brooklyn, NY. Does she call the ACLU? She did call customer service for her HMO but she said they are useless and told her "you need the numbers of your providers?" ?????????????

What the heck (if anything) can this woman do? Does she have any recourse? Can these doctors who went off network, well can they bump her off like that? She has no rights here?

Any info will be helpful

Melody
P.S. I told her to write me a detailed explanation of what she was telling me so I could post here but until I get ALL the stuff, I figured I would run (what I do know) by all of you.

Who can she call?

Thanks very much

Melody
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