Insurance problems with doctor switch?

Page last modified on: July 23, 2008

Question from Sabrina: I was told that if I change doctors my insurance might be jeopardized. Can they refuse to pay out if I change doctors?

Answers —Jennifer Griggs, M.D., M.P.H.: That would be a pretty unusual situation. It is definitely worth a phone call to your insurance company to make sure the doctor you want to change to is in the company's plan. You shouldn't be penalized if you pick another provider who's in your own plan.
Marisa Weiss, M.D., president and founder: Don't be intimidated by the fine print in your insurance policy. These rules were created to be bent for each individual. Sometimes it takes a phone call or letter to get what you need from your insurance company regarding seeing additional doctors or getting specific tests.
Jennifer Griggs, M.D., M.P.H.: Your primary-care doctor can help you negotiate the insurance system with a letter or phone call, and you should not be afraid to ask for help with something this important.

On Wednesday, February 19, 2003, our Ask-the-Expert Online Conference was called The Doctor-Patient Relationship. Jennifer Griggs, M.D., M.P.H. and Marisa Weiss, M.D. answered your questions about how to find the right doctor for you, and how to create and maintain a good, open relationship with your doctor so you can be sure to get all the care and information you need.


The materials presented in these conferences do not necessarily reflect the views of breastcancer.org. A qualified healthcare professional should be consulted before using any therapeutic product or regimen discussed. All readers should verify all information and data before employing any therapies described here.

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