Q: Medical office told me they accepted my hmo. Was treated 45 times then told they dont accept my hmo.now they bill me
Please help. I am treated daily at a methadone clinic. I receive medicaid from state of Florida which pays 100% of bill. For about a year i had an hmo Molina heathcare. Recently molina is no longer with medicaid. I asked my counselor at clinic. What hmo to switch to she said staywell, Humana and United healthcare. She also said that the hmos that we are going to accept are printed on the wall outside her office. I walked over chose humana off wall and changed my hmo. It went into effect Feb.1st. All of a sudden a month and a half later. I go to pick up my medicine and i cant there is a note to see counselor. Im told they are not accepting my hmo and I owe back payment of services since Feb 1st. They said they will make a payment plan. So i payed the $120 in cash to be seen that day went home immediately switched my hmo from Humana to united healthcare. It took me 5 mins to switch. If I was given proper warning that they were all of a sudden not going to take my hmo I would of picked
A: No experienced lawyer I have ever known was ever surprised by the things insurance companies do to avoid paying benefits. If Medicaid will pay for your methadone you should use it; if not, you should stay on top of your situation because whatever any insurance company says today is subject to change tomorrow. Meantime, since you need your medication every day, it is far wiser to accept the payment plane and then, after everything is said and done, you can try going back against the health insurance company that changed their rules during the game. Stay clean.
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