I have an HMO plan through Blue Shield. It’s been fine so far, but I need a turbinate reduction. I saw two ENTs in my city, one under a different insurance and one in-network with my current insurance. Both were frankly horrible, using outdated equipment and I just did not feel comfortable with either. Blue Shield approved a second opinion with an out-of-network doctor who I absolutely loved, he found a cyst that the others missed in my nose and I would fully trust him doing the procedure.
Unfortunately, Blue Shield rejected my appeal to have him do the procedure, they only approved an in-network doctor. I am terrified of the in-network doctors because they all have horrible reviews and I’ve talked to people in person who are dealing with permanent issues by seeing doctors in my city (I normally wouldn’t generalize but there are very few ENTs in my city, let alone in my network).
Do I have any options at this point other than going with the doctor they approved or waiting until I can change my plan to a PPO plan?
submitted by /u/aimforthehead90
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I have an HMO plan through Blue Shield. It’s been fine so far, but I need a turbinate reduction. I saw two ENTs in my city, one under a different insurance and one in-network with my current insurance. Both were frankly horrible, using outdated equipment and I just did not feel comfortable with either. Blue Shield approved a second opinion with an out-of-network doctor who I absolutely loved, he found a cyst that the others missed in my nose and I would fully trust him doing the procedure. Unfortunately, Blue Shield rejected my appeal to have him do the procedure, they only approved an in-network doctor. I am terrified of the in-network doctors because they all have horrible reviews and I’ve talked to people in person who are dealing with permanent issues by seeing doctors in my city (I normally wouldn’t generalize but there are very few ENTs in my city, let alone in my network). Do I have any options at this point other than going with the doctor they approved or waiting until I can change my plan to a PPO plan?
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