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Reply to "Insurance with $20,000 Deductible?!"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Some specialists---like child psychiatrists-- don't take insurance at all, as pp noted. But Inova is a big system, I'm curious about the specialists who aren't in network. Because they sell this to their employees as more like an hmo and one of the selling points is how varied the network is. [/quote] Well....do a search on a specialty, and there will be (admittedly rare) instances where it comes up saying, "no in-network specialist." [/quote] Please provide us with an example of this, because so far I haven't found any specialties without providers in the Innovation network.[/quote] OP here. I will work on it. As I said, it's uncommon, but it does occur. I'll get back with an example.[/quote] I'm back. Here's one: urogynecologist. [b]I have no idea what they would treat that a urologist or gynecologist would not,[/b] but if a customer needed that specialty, they would have to go out of network and pay the first $20,000 on their own. (Naturally, they wouldn't select this plan if they knew they needed that specialist, but things change....) I have to go bsck to work and can't keep looking, but it has also been reported that psychiatrists is a common specialty missing from exchange plans, too. I don't know about this particular one. (Other than that single specialty I found, they DO seem to have robust coverage, and Innova is definitely a big system.) [/quote] Here's the problem, OP. You said: [quote]I'm the OP and I am back. No....it doesn't say on that form that they are missing specialists. [b]But I know from experience that many plans - including this one - do.[/b] Congress knows as well, as there have been numerous complaints from exchange customers that the specialist they need is not in network. It actually pretty commonplace, and a REAL problem, but Obama is burying it. Still trying to hide how much damage he's done. http://khn.org/morning-breakout/in-network-access-to-specialists-not-always-available-on-some-obamacare-plans-study-finds/[/quote] Then you say you needed to do "research" and came up with an obscure specialty area that you state you aren't familiar with, and then PPs found multiple instances of that being covered. So, do you actually have experience with not being able to get in-network care on your specific ACA plan, or not? Because it really sounds like not. So, you're either lying or distorting something for your own purposes.[/quote]
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