It was very stressful, looking through those papers. She acknowledged that people must make the effort to determine just what their health plan allows, but said HMOs could make it easier. You had to really read through it. It certainly felt like no one wanted me to find that number. Is made up of managed care experts from the state Agency for Health Care Administration, the state Department of Insurance, a doctor and a consumer member, who is appointed by the governor.
Medical specialists consult as needed.
Can be used only after patients have exhausted their HMO's internal appeals. Decisions usually take from two days to two weeks. St. Petersburg Times. All rights reserved.