Guest guest Posted February 28, 2005 Report Share Posted February 28, 2005 Hello, all. I have a question for anyone who has MA or Beckett. The scenario is this - we have private insurance (an HMO) through my husband's employer. Unfortunately, our local clinic covered by our HMO is woefully understaffed and very unresponsive. I would like to use another provider, one that is not part of our HMO and, therefore, not covered by our private insurance. I contacted MA/ Beckett and asked whether or not MA would cover the cost if we used a provider outside our HMO. I was told that as long as the provider is a Medicaid provider, MA/ Beckett would cover it. However, when the provider that we are considering contacted MA/ Beckett, they were told that MA/ Beckett will only cover the cost if we use a provider approved by our HMO. So basically they are being told that we can only use a provider within our HMO and then MA/ Beckett will reimburse for whatever our private insurance won't. I just don't think that is right - otherwise, what is the point of having Beckett if we are limited to using providers that are already completely covered by our private insurance. Anybody have any experience in this area - Lynn Quote Link to comment Share on other sites More sharing options...
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