Insurance assistance Health Plan of San Joaquin...
Hello,
I am Joanna 27 from Stockton Ca. I have Health Plan of San Joaquin through Medi-Cal i am getting nowhere with my PCP, and insurance plan . Nobody can provide me with a list of drs who accest hpsj. i got BMI 57 and am looking into gastric bypass, although am open to any wls which woud be a good weight loss tool for me. My PCP refferred me to UCSF, and i was so happy cause on their website they said they accepted my insurance w refferal, although early this morning i recieved the horrible news that they do not. When i contACT my insurance they will not give me any names of DRs iv ooked up on their website and nothing and well My PCP office has told me 4x already they will cal me back at end of the day. today when i called they gave me attitued and said they will contact me when they get to my case, i asked around how many days wil it take to hear from them and well... I wanted to choke the chick throught the phone, she said dont cal us we will call you anytime between tomorrow and a couple months???????? i said "REALLY? and she said this is a lengthy process. i never thought getting a dr was the hard part
I am Joanna 27 from Stockton Ca. I have Health Plan of San Joaquin through Medi-Cal i am getting nowhere with my PCP, and insurance plan . Nobody can provide me with a list of drs who accest hpsj. i got BMI 57 and am looking into gastric bypass, although am open to any wls which woud be a good weight loss tool for me. My PCP refferred me to UCSF, and i was so happy cause on their website they said they accepted my insurance w refferal, although early this morning i recieved the horrible news that they do not. When i contACT my insurance they will not give me any names of DRs iv ooked up on their website and nothing and well My PCP office has told me 4x already they will cal me back at end of the day. today when i called they gave me attitued and said they will contact me when they get to my case, i asked around how many days wil it take to hear from them and well... I wanted to choke the chick throught the phone, she said dont cal us we will call you anytime between tomorrow and a couple months???????? i said "REALLY? and she said this is a lengthy process. i never thought getting a dr was the hard part
DS on 02/29/12
well i contacted my worker an insurance. turns out the dr im interested in is covered... although only through refferal, bad part is my pcp n the office is goin about it the wrong way they r supposed to request a ref. prior to me contacting dr. and for some reason my pcp wants me to see dr 1st???? i dunno im thinkn about getting a new pcp if he dont do his job correctly cuz all hes doin is delaying this for me
Emeraldjewel
on 1/26/12 1:25 am
on 1/26/12 1:25 am
RNY on 02/14/12
The process through midical can be very annoying. I currently have Alemeda Health through medical and I have a surgery date of 02/14/2012 but I started the process back in June. I originally went to a seminar at my local hospitals bariatric surgery program. They originally said they would accept my insurance and I would just need a referral from my doctor. I made a appointment with my doctor and she had no problem with giving me a referral for the surgery. It took 3 weeks to get in to see the bariatric doctor but a few days before my appointment they called and said that they wouldn't accept my referral through my doctor and I would either need to go to a new primary doctor they work with or get a new referral from my doctor to what every participating bariatric program they work through. I contacted my insurance directly and they advised me that either I switched primary or get a new referral from my primary for the bariatric program they worked with which was a hour away. I liked my primary doctor and after a few days of considering I didn't want to change to someone new so I got my new deferral. I then had to start the process all over again and go to another seminars with the new bariatric program. To say the least be prepared to have lots of bumps along the way in the process. It has now been 7 months and I finally got my final approval and surgery date. My suggestion is to contact the insurance directly let them know who your primary doctor is, then find out exactly what you need to do. I was lucky to speak with a lady at my insurance who looked into everything for me and got me on the right road.