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pumpkin 发表于 2008-11-24 08:49 AM

新妈请教umass宝宝保险

最近要搬家了。
宝宝刚出生都是在uhs看ped,
现在想换到离自己要搬去的那个地方,
怎么换医生呢?

是把宝宝在这里的病历复印一份交给那边的医生,还是医生之间自己fax?
宝宝还是跟着我的保险,我是geo的保险,在别的医院看医生和在uhs copay有区别吗?

很快要做三个月checkup, 知道的爸妈请指教!

宇文成都 发表于 2008-11-24 11:35 AM

GEO的网页上有具体信息
[url]http://geouaw.org/index.php?option=com_content&task=view&id=23&Itemid=39#refer[/url],参见“outside referrals”一条:
Outside Referrals
Although there are many medical professionals available in-house at UHS, you have access to plenty of other health providers off-campus as well. Aetna/Chickering maintains a long list of doctors in Western Massachusetts whose services are covered under your health plan. The main guideline for seeing off-campus providers is this: to see a provider off campus, you should first be referred by someone at UHS.

Preferred and Non-Preferred Providers
Aetna maintains a list of health care facilities and personnel called the "Preferred Provider Network." A "Preferred Provider" is a doctor or other professional covered under the UHS health plan -- services rendered by a Preferred Provider are generally covered at 80% to 100%. Non-preferred providers are generally covered by our plan at 80%, after a $200 deductable. Needless to say, it's better to stick with someone on the Preferred list.

简单的说,UHS以外的医院需要UHS的referral。
The Preferred Network is both local and national in scope (but primarily local). To see the complete list of providers and to check if a particular doctor is on it, visit Aetna's website. Be sure to select OpenChoice PPO as the health plan type.

宇文成都 发表于 2008-11-24 11:36 AM

Aetna的website:

[url]http://www.aetna.com/docfind/disclaimer.jsp?site_id=docfind[/url]

pumpkin 发表于 2008-11-24 01:47 PM

回复 3# 的帖子

This is so helpful!
Thanks so much!
see you soon~~

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