the isurance company has a page that you can fill out
and they as a convienvence to the member will call the
requested doctor to set up an appointment. this dr.
was listed as taking new patients. the insurance
company called to set up judy and i with an initial
appointment. here is where the doctors office had a
chance to say "we have too many to take more." they
did not. they said "we prefer that the patients call
us themselves." we call and are ask for infomation on
our meds with the statement that they will look at
that infomation and call us back. they call us back
and refused us appointments. the only thing it could
have been based on was the meds that we take, most
likely my meds as judy only takes blood pressure meds
and migraine meds. 
  
--- kat <[log in to unmask]> wrote:

> OK - here's my next question - was this on the
> insurance company's 
> website or did you call the insurance company to
> confirm?  If they told 
> the insurance company they are accepting new
> patients covered under the 
> plan and they aren't, really, then they are not
> supposed to accept 
> anyone covered under that plan.  In other words if
> they have a contract 
> with that plan for billings, etc., and they don't
> cover a participant, 
> they may be in breach of contract.  You need to talk
> to a customer rep 
> at the insurance company.
> 
> If this was on the website, then the website might
> be out of date - you 
> need to call the insurance company to speak to a rep
> and see if they 
> will act on your behalf.
> 
> Kat
> 
> ken barber wrote:
> > EVEN WHEN THE INSURANCE PLAN CALLED THEY DID NOT
> TELL
> > THEM THEY HAD REACHED THE POINT OF NOT TAKING NEW
> > PATIENTS. THE HAVE TOLD THE PLAN THAT THEY ARE
> TAKING
> > NEW PATIENTS. 
> >
> >
> > --- kat <[log in to unmask]> wrote:
> >
> >   
> >> The only legitimate reason I can think of is if
> they
> >> aren't accepting 
> >> new patients into the practice but they should
> have
> >> told you that up 
> >> front.  It sounds to me like you need to file a
> >> complaint with the state 
> >> medical review board.
> >>
> >> Kat
> >>
> >> ken barber wrote:
> >>     
> >>> well, i guess i have seen something new. today
> we
> >>> picked a doctor off our PPO list for this area.
> >>>       
> >> his
> >>     
> >>> practice was marked as accepting new patients.
> >>>       
> >> upon
> >>     
> >>> calling we were instructed to give them a list
> of
> >>>       
> >> meds
> >>     
> >>> that we took. we gave them a list and were told
> >>>       
> >> they'd
> >>     
> >>> get back in touch. a little while later we were
> >>>       
> >> told
> >>     
> >>> that we would not be accepted. 
> >>>
> >>> has any of you one been refused medical service
> >>>       
> >> based
> >>     
> >>> on medicine that you were taking? 
> >>>       
> 
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