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For those of you who are handy with insurance.

Started by Sybil, July 02, 2014, 09:50:29 PM

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Sybil

Recently, there was an announcement that state health care in Massachusetts would cover GRS. I am on state health care, and needless to say, I was ecstatic -- but I'm a bit confused about one thing.

So here's my question: will my insurance cover GRS outside of the state? Will I be able to choose my own, like Bowers? There are no GRS surgeons here in the state, so do they plan to cover out-of-state GRS? Is that common? The insurance is primarily made for care in the state, which leaves me with a bit of confusion.

I would just call and ask my provider, but the bill hasn't gone into effect yet (it will in a few weeks or months, I'm not sure) so I doubt they could provide me with much information. I was hoping that some of you who understand this sort of thing could tell me, so I can plan accordingly.
Why do I always write such incredibly long posts?
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mrs izzy

That is a good question.

Also if they do how will it work, most do not take insurance clams.

So i would say that you will have to pay out of pocket and get reimbursements?

Its good they now pay but how is the key i guess. Me i would not want to have to end up going to some hack and wack just because they are on the insurance company doctors. I can see some doctors rubbing there grubby greedy hands to get that money.

Keep us updated or maybe someone has a clue.

Isabell
Mrs. Izzy
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Missy~rmdlm

Generally all care is handled as US domestic. Dr Bowers was covered as an "in network" preferred provider, regardless of me being in Missouri. I have UHC. Going out of the US is where getting coverage gets impossible excepting emergency care for an accident outside the US.
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LordKAT

If a covered procedure has no local doctors, generally you will pay as if in network for an out of network doctor. However, if a doctor who does the procedure is in network, that is who you will have to see for full benefit of the insurance.

I don't know if that is true all over, but it is here.
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