Harvard Pilgrim and Dr. B

[pr40]

I wonder if you can help me with this. We have Harvard Pilgrim which has refused to cover a visit to Dr. B. Has anyone had this issue before with HP? Can you tell me what you did?

HP is sending us to Drs Laurie Miller and Marc Natter from Tufts Floating Hospital. If you happen to know them, do you recommend them?

thanks in advance

[NancyD]

When DD last saw Dr. B in Feb 2011 he was contracted with HPHC. They covered DD's visits completely, except for a $20 co-pay. They also covered her IVIg infusions. We have a PPO plan although they covered it in-network.

[pandas mom]

When DD last saw Dr. B in Feb 2011 he was contracted with HPHC. They covered DD's visits completely, except for a $20 co-pay. They also covered her IVIg infusions. We have a PPO plan although they covered it in-network.

We've had a lot of difficulty with Harvard Pilgrim, too. They've covered appointments, but not IVIg. Do you have the PPO?

[pr40]

thanks for your replies. We have HMO. I guess, that's the problem.

[NancyD]

Yes, that's the problem. I just checked HPHC's provider lookup at https://www.providerlookuponline.com/harvardpilgrim/po7/Search.aspx and his name is listed under PPO but not HMO.