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LauraL840
06-26-2008, 09:50 PM
See if any of these sites will help you with your HMO (they are specific to your state):

Monitoring the Pulse of the State’s Top HMO Plans Our Annual Survey (http://www.calbrokermag.com/Magazine/story/oct07/hmosurvey.htm)

DEPARTMENT OF MANAGED HEALTH CARE CALIFORNIA HMO HELP CENTER DIVISION OF PLAN SURVEYS (http://www.hmohelp.ca.gov/library/reports/med_survey/parity/055.pdf)

Health Administration Responsibility Project Tort Theories of HMO liability (http://www.harp.org/tort.htm)

I also just "realized" that you're in CA, so it's likely that Dr. Schievink has 'dealt' with your insurance company before. Remember, he told me that Cedars will work with patients and insurance companies that are reluctant to 'permit' coverage. Seems like you are too close to the 'expert' to let an opportunity like this pass you by!

sadlisa
06-27-2008, 09:27 AM
Thanks again Laura,

I should hear from the regional committee next week and will move forward from there. I will write Dr. S. and get his opinion. If he thinks there is something to look for maybe he will help convince my HMO it is necessary for my well being. My biggest problem is getting my doctors to agree something is wrong that can be fixed. They are the ones who are holding back an outside opinion. It would be much easier if their support was there. I truely appreciate all your help and support. Thia