Question:
post-op~NEW Insurance~United~Harvard Pilgrim OR Tufts?? HELP!

My husband's company just got bought out and our insurance choices are Harvard Pilgrim HMO, United Healthcare PPO or Tufts HMO. We live in MA and I need to choose the one that is most likely to cover panni, breast reduction. Please share your experiences with any of these insurance companies. Much appreciated. THANKS!    — Kathleen M. (posted on May 9, 2002)


May 10, 2002
Contact the personnel dept of your husband's employer and ask for the 1-800 #'s of each of the Healthcare providers. Then call 800 #, ask what their policy is on this type of procedure. As an added protection I would ask that they fax you/mail to you, their policy on that particular procedure (this way you will have it in writing). I can give you the # for Tufts in Massachusetts: HMO 1-800-462-0224 POS/EPO 1-800-843-1008 PPO 1-800-423-8080 Those are the Customer Relations Depts. You need to find out Whether they are offering HMO,PPO,POS, Ect. It would help if you had a specific surgeon in mind this way when you call you check and see if he/she is in your "network of providers"(HMO MAY COVER PROCEDURE BUT NOT THE DOCTOR YOU WANT). So it is always better to check. GOOD LUCK!
   — Marlene N.




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