PediatricPenguin
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Now that 2016 is here, there are no PPO options for individual insurances here in Texas except in extremely rare cases.
Of course the Insurance Agents have clearly been misrepresenting the EPO plans as "participating in the PPO network."
Our private practice is only contracted for PPO plans, but we allowed some of our current patients a "trial" run to see how things would shake out with the new plans. Of course it comes back that we are not considered in-network.
So I am wondering a couple of things.
1st - Has your practice had patients who were misled into believing that their new EPO plans would be accepted as typical PPO?
2nd - If we were to contract with EPO plans, is the reimbursement similar to our current PPO contract or would it be a lesser amount?
3rd - After doing research here in the DFW metroplex, it appears that a patient with Medicaid or an HMO would have a level of service and selection far surpassing even the top of the line EPO. Have you found similar results?
Thank you for your time.
Of course the Insurance Agents have clearly been misrepresenting the EPO plans as "participating in the PPO network."
Our private practice is only contracted for PPO plans, but we allowed some of our current patients a "trial" run to see how things would shake out with the new plans. Of course it comes back that we are not considered in-network.
So I am wondering a couple of things.
1st - Has your practice had patients who were misled into believing that their new EPO plans would be accepted as typical PPO?
2nd - If we were to contract with EPO plans, is the reimbursement similar to our current PPO contract or would it be a lesser amount?
3rd - After doing research here in the DFW metroplex, it appears that a patient with Medicaid or an HMO would have a level of service and selection far surpassing even the top of the line EPO. Have you found similar results?
Thank you for your time.