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Sorry Honey, but it isn't because you are on medicaid
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http://www.boston.com/news/local-news/2016/04/07/insurance-boston-childrens-hospital

 

Parents upset as insurance plan limits access to Boston Children’s Hospital

 

Emmarose Logatti, 6, had been going to Boston Children's Hospital for treatment and therapy since she had a stroke.–John Tlumacki / The Boston Globe
By
 
Kristi Palma
 
7:51 AM

An insurance plan designed for underprivileged families is restricting patient access to doctors at Boston Children’s Hospital in an effort to control health care costs, reports The Boston Globe.

Yande Schwarzbock has been taking her 6 year-old daughter, Emmarose Logatti, to specialists at Children’s Hospital her entire life. The little girl suffered a stroke before her birth.

The family’s insurer is Neighborhood Health Plan, which changed its policy with Children’s Hospital Jan. 1. The new policy applies to Neighborhood members on Medicaid. Neighborhood has about 300,000 Medicaid members, which includes about 120,000 children. When Schwarzbock learned that her daughter would lose access to her doctors with the new plan, she quickly dropped the plan and switched to another Medicaid program.

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“I can’t afford to go to another hospital, because these doctors already know her. I couldn’t afford to wait,” she told the Globe.

“It’s not fair for people that are considered poor or underprivileged to have to go through these things,” Crystal Rivera, another mother whose child will be affected by the change, told the Globe. “Everyone deserves equal care.”

“Children’s Hospital, for many circumstances, has the best people in the country, some of the best people in the world, and now we’re saying if you’re poor you can’t go there,” Dr. Robyn Riseberg, a pediatrician at the South End Community Health Center, told the Globe. “I feel it really is a war on poor children.”

Neighborhood said they changed their policy because they couldn’t afford the high rates at Children’s Hospital. There are other insurers who limit access to Children’s Hospital as well.

Read the full story in the Globe.



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It’s not fair for people that are considered poor or underprivileged to have to go through these things,” Crystal Rivera, another mother whose child will be affected by the change, told the Globe. “Everyone deserves equal care.”


Ridiculous! People with private insurance have been going through this for years, having to change doctors because their preferred one is now out of network. Wake up Honey!



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lilyofcourse


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Medicaid does limit care.

I've seen it.



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lilyofcourse wrote:

Medicaid does limit care.

I've seen it.

 Medicaid is actually run by the States so it will differ.  But you are correct in the limit thing.  Apparently all this mother had to do was switch medicaid plans and she gets her choice of doctors.  But someone like me who pays for insurance, plus a hefty deductible, wouldn't be able to change plans to keep my new doctor.



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lilyofcourse wrote:

Medicaid does limit care.

I've seen it.

  Of course it does.  Do you really think medical provider and hospitals can afford to work for squat?



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huskerbb


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If you don't like the care givers available to you from your insurance plan--switch plans, or pay for the medical expenses, yourself.

Otherwise, you don't know that the doctors at another hospital won't be just as good.

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lilyofcourse


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I don't know about everywhere. Just what I have dealt with.

With Aaron, he had to go to a gastrointestinal doctor in Chattanooga because it would not cover any here.

I had to use a rheumatologist in Chattanooga and when the medicaid had a conflict, my next option was in Atlanta.

And medicine.

Aaron had to change meds 3 times because a medicaid panel decided they knew better than his doctors.

Immunizations are administered one at a time. There is no mixing was forbidden. So my kids got 4 shots each time.

I know private insurance has its issues and I am forever grateful for the help I had through medicaid.

But each has its pros and cons.



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I know what to do_sometimes wrote:

It’s not fair for people that are considered poor or underprivileged to have to go through these things,” Crystal Rivera, another mother whose child will be affected by the change, told the Globe. “Everyone deserves equal care.”


Ridiculous! People with private insurance have been going through this for years, having to change doctors because their preferred one is now out of network. Wake up Honey!

 Yep.  Private insurance people DO have to deal with it.  When I started going to the Dermatologist I had one of the best insurance plans around.  I still had to wait six months for a new patient appointment.  We recently had a lady who went to the news and was protesting because she is on Medicaid and had to wait four months to get a doctors appointment.  She was screaming discrimination.  Um, nope.  That's what everyone has to do.



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TrudyML


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huskerbb wrote:

If you don't like the care givers available to you from your insurance plan--switch plans, or pay for the medical expenses, yourself.

Otherwise, you don't know that the doctors at another hospital won't be just as good.

Exactly the case here.  It is friggin' Boston!  Tons of hospitals in an around the city.  She is acting like there is only one. 



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Lawyerlady


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Insurance plans change providers all the time. The LW is not special.

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Doctors drop insurances all the time. Especially with Aetna, for some reason. I see all the time, "no longer accepting Aetna patients."

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lilyofcourse


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It absolutely happens.

No, it isnt special.

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Lawyerlady wrote:

Insurance plans change providers all the time. The LW is not special.

 No she isn't special but is playing the poor welfare card.



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