Integrated Care

[Guest guest]

I have been working on educating myself and others on the whole managed care

program for over 18 months now.  I have followed up with doctors,

representatives at Aetna and IlliniCare.  I have shared all the information I

recieved with other parents in our county.

Well, my daughter got her letter.  It said we had until July 30th to sign up

with our preferred provider and PCP.  I called on July 18th to sign up.  They

had FINALLY signed up a hospital in our county!!!!  No sense signing up before

then right?!

When I called on the 18th, I was told that the state had already signed me up

for a provider AND a PCP.  Luckily they had signed me up with the provider I

wanted = Aetna Better Health - BUT had assigned me another doctor I had never

heard of, and had no idea where the office was.

 

I called Ellen - she is such a sweetheart!! - she gave me Hall's #.  I

called her immediately.  She said she was able to change the PCP.  I sure hope

so, because I have now gotten my daughter's card, and it still has the

originally assigned PCP on it.  I left a message for Monday morning.  I sure

hope this can be resolved QUICKLY!!!  My daughter needs to see  neruologist

ASAP, and has to be referred by her PCP - which one???? 

Things better get settled soon.  All services start August 1 for my daughter.  I

still need the PCP to fill out the prior approval for several of her meds, but

can't do that until there is a PCP - and I am NOT going to go thru her history

with a new doctor for 30 days, and then change back to her current when she is

finally on the card for her PCP!?!?!

I have spent hours a week on this and WHY - when it is still a MESS!!

Thanks for letting me vent!