@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. 💜