How do you find out if a Doctor is "in-network" on Bluecross/Blueshield?

[Trumplestiltskin 5,791]

It doesn't make a whole lot of sense, that's for sure.

[rebeccajo 14]

It doesn't make a whole lot of sense, that's for sure.

It's 'for profit' health care.

[Trumplestiltskin 5,791]

It is, and the customer interface is run by people who either can't run a bath or aren't allowed to.

Call center drones.

[Danno 1,228]

I created an account with BC/BS and just click "find a doctor". Works for me.

Yeah, it's a little telling that Ole Pike can't navigate this simple situation.

I have been with BCBS for over a decade and have searched for providers a number of times, my only problem was deciding on which one to pick, there were so many...they even had some listed in Russia. (though I have never needed their service).

I chuckle at imagining how much more simple the Gov. will make all this for us.

[rebeccajo 14]

I created an account with BC/BS and just click "find a doctor". Works for me.

Yeah, it's a little telling that Ole Pike can't navigate this simple situation.

I have been with BCBS for over a decade and have searched for providers a number of times, my only problem was deciding on which one to pick, there were so many...they even had some listed in Russia. (though I have never needed their service).

I chuckle at imagining how much more simple the Gov. will make all this for us.

There are more Medicare approved providers than mighty BCBS, Danno.

[Trumplestiltskin 5,791]

I never said I couldn't find a doctor, I said that I couldn't get any concrete confirmation from the insurer on whether the provider is covered under the network, or when their coverage is effective.

You can chuckle all you want Danno, I have experienced the other side, and while there is indeed a lot of bureaucracy, its a lot easier to navigate than this Chinese whispers bollocks.

[w¡n9Nµ7 §£@¥€r 123]

I haven't read this entire thread but I assume from the length of it that it isn't as simple as looking it up on the bcbsnj website? That's what I've always done.

[rebeccajo 14]

I haven't read this entire thread but I assume from the length of it that it isn't as simple as looking it up on the bcbsnj website? That's what I've always done.

I think 6 is talking about being absolutely sure the info on the site is correct. Because the phone rep couldn't confirm that it was.

[w¡n9Nµ7 §£@¥€r 123]

I haven't read this entire thread but I assume from the length of it that it isn't as simple as looking it up on the bcbsnj website? That's what I've always done.

I think 6 is talking about being absolutely sure the info on the site is correct. Because the phone rep couldn't confirm that it was.

He should go by the website. Print it out and if the insurance company balks, give BY a call and he'll hook GH up with his army of highly paid Aussie lawyers.

[rebeccajo 14]

I haven't read this entire thread but I assume from the length of it that it isn't as simple as looking it up on the bcbsnj website? That's what I've always done.

I think 6 is talking about being absolutely sure the info on the site is correct. Because the phone rep couldn't confirm that it was.

He should go by the website. Print it out and if the insurance company balks, give BY a call and he'll hook GH up with his army of highly paid Aussie lawyers.

Hey, that's a plan!

[Pinocchio Liberal 268]

I haven't read this entire thread but I assume from the length of it that it isn't as simple as looking it up on the bcbsnj website? That's what I've always done.

I think 6 is talking about being absolutely sure the info on the site is correct. Because the phone rep couldn't confirm that it was.

Now we know why ppl want govy care! Cuz they cant even find a doctor even though they are covered. I know six and he's playin stupid to make some lame #### issue how healcare here sucks.

Next thing you know he'll be wantin the nurse to come pick him up and hold his hand. Then givem a sucker if he doesnt cry.

[rebeccajo 14]

I just grabbed this from the Terms of Service of one insurer's website. Astericks have been changed to protect profit margins.

"Information contained on this website is furnished free of charge and for informational purposes only. Although ****** has made every effort to ensure that the contents of this site are correct and complete, ****** cannot be held responsible for the accuracy of the information contained herein. Information may be changed or updated without notice. ****** has no obligation to update information presented on this website, so information herein may be out of date at any given time. ****** may also make improvements and/or changes in the products and/or programs described in this information at any given time without notice."

Edited November 2, 2009 by rebeccajo

[rebeccajo 14]

I haven't read this entire thread but I assume from the length of it that it isn't as simple as looking it up on the bcbsnj website? That's what I've always done.

I think 6 is talking about being absolutely sure the info on the site is correct. Because the phone rep couldn't confirm that it was.

Now we know why ppl want govy care! Cuz they cant even find a doctor even though they are covered. I know six and he's playin stupid to make some lame #### issue how healcare here sucks.

Next thing you know he'll be wantin the nurse to come pick him up and hold his hand. Then givem a sucker if he doesnt cry.

Just for the hell of it, I kinda hope that someday your insurance company starts making mistakes on your coverage and you find your mailbox stuffed full of denials.

[Pinocchio Liberal 268]

Just like any website!

[Trumplestiltskin 5,791]

Would you believe I just got off the phone with the insurance company over a nice fat bill I found in my mailbox just now.

$410 for routine bloodwork

So I call the insurance guy who tells me that he has to call the lab to find out what's going on and call me back tomorrow.

I get enough of this paper-pushing jobsworth bullsh!t at the office - I could do without a dose at home too!

Why on earth can this stuff not be done transparently - why does the patient need to be dragged into this?