Insurance drama - need some advice

Ok so I have anthem/medi-cal. According to the people at anthem, they will cover any surgery as long as it is medically necessary. Thats good considering I want to get a DS. Well, as it turns out, there is only 1 doctor in sacramento that accepts my insurance. But as of november, that hospital isn't covered by my insurance nor do they perform a DS. I called some places in San Francisco with no luck. No one likes medi-cal or they are not in my 'network.'

I don't know what else to do or where else to try. I really need this done for my health. Anyone know any doctors that would accept me ? Or is there something else I can do?

Any advice is appreciated.

I thought Rabkin in SF took Medi-Cal. I could be wrong about that but it's worth checking with his office, if you haven't already.

That's who I called . The guy said they weren't contracted with my particular insurance.

Hmm. I'm not sure what that means when it comes to MediCal.

They take it at Stanford but I don't think they do the DS there.

Stanford doesn't do the DS. Neither does UCSF.

Larra

Hey -

I called my surgeon - he's based out of SF and has surgery in SF and San Jose.

He does DS, accepts anthem, but does not accept Medi-Cal.

I spoke to the woman who runs his office, and she said it depends which one is 'dominant' - if that's Anthem, then you may be in a good position.  She said if you were able to scan/photocopy the front and back of your insurance card, she could figure it out for you.

Her name is Amy Mirandoli, and she can be reached at (415) 820-5939 

I hope this might help!  (If they do take it, he's a really terrific surgeon!)

I've spoken with  Amy yesterday, scanned my cards for her but unfortunately they don't accept it :(. Thanks for trying for me tho, I really appreciate it :)

Aw, damn.  Sorry.  I hope you can still find your solution!

Finally got ahold of someone, guess I wasn't pressing the right extension. She said she didn't see any reason why they wouldn't take my insurance, even looked it up on the medi-cal website. When I said where I was from she was like oh wow. lol. But I got put on eternal hold and had to hang up due to long distance. Said I would need a referral from my pcp but I already knew this :P Now I am debating whether or not to call back just yet to find out more or wait til tomorrow lol. I'm not getting my hopes up yet as nothing is set in stone with insurance these days. But here's hoping!

Hey, congratulations!  Cirangle is really a terrific suegeon; I highly recommend him!!