@Moss My family and friends have all had a hard time finding primary care doctors in the Portland area. And then I read news articles like this one (about doctors who take medicare) so I know it's not just me -
But I did NOT know that some doctors would not even renew a prescription at the same appointment for another issue! WTF?
Anyway, I'm so sorry you're going through this.
@ahimsa_pdx @Moss
you might already know this, and it does ofc require spoons but:
There are legal reqs for how soon insurance cos are required to get us each type of appointment.
Sadly they only care abt money, so making a small stink your issue is urgent & they aren’t meeting their legal reqs often makes them realize getting you a Dr out of network asap is usually cheaper than you in the hospital, which is cheaper than a lawsuit.
(Cont)
This info usually called Access to Care Standards on insurer’s websites.
Last time I did this was in CA so I don’t know fully but I *think* this might be OR’s law, my brain fog is brutal this week tho
https://oregon.public.law/rules/oar_410-141-3515
So sorry y’all are dealing with this. It’s brutal in here in semi-rural OR too esp for specialists any seniors go to & I worry it’s only gonna get worse as healthcare providers are a big LC demo ):
@Moss ps they don’t owe you a specific dr, they owe you a dr of a certain PA/RNP/MD/DO depend what kind of appt. Knowing *exactly* what apt category you are & how long they have, in adv will help the convo a lot
IME when they authorized out of network was a large clinic w many providers, so I still had some choice in the matter. They also might get you higher level of in network care when avail I’ve heard
YMMV here but be your best advocate. 💜
oh yikes. this is the sort of thing that coerces people into the 'advantage' plans even though all the reports suggest those are more likely to deny coverage. but how can one be 'covered' if one can't even get seen?