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How To Locate A Doctor For A Second Opinion

Medicaid

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If Medicaid in your state pays health care providers directly rather than paying premiums for health insurance policies: There is no central data base of doctors who accept Medicaid.

To locate doctors who accept Medicaid, contact your local Medicaid Office.

If they do not have a list, to locate doctors who accept Medicaid, contact:

  • Your local hospital, particularly community hospitals. The better the hospital, the better their doctors are likely to be. Ask to speak with one of their social workers.
  • A Local Disease Specific NonProfit Organization.
  • Support Groups: If you are a member of a support group, other members may have suggestions about doctors who accept Medicaid.
  • Clergy: Your local religious organization will likely know the name of doctors who accept Medicaid.
  • Friends and Family: People in a situation similar to you may have doctors to recommend.

If Medicaid pays for you to have a private managed health care plan: If you have a managed care health insurance plan, such as an HMO, PPO or POS: the health plan will provide you a list of doctors from which to choose.

You may be limited to a choice of designated participating physicians or medical groups. Check your plan to obtain your choice of doctors. If there are no board-certified specialists who can provide you with the expertise that you require, you will likely have to advocate for yourself to see a doctor outside of the network plan. To locate a doctor outside the plan, see: Sources To Help Locate A Specialist For A Second Opinion.

If a doctor you want to see isn?t on the list, ask the doctor?s office if he or she would be willing to join your insurance carrier. If not, it could be helpful to you to learn why not. It may provide you information to watch for with respect to the doctors who are on the plan. If the doctor is willing to be on the list, speak with the insurance company and ask if the doctor could be put on their list. If the company says no, it may also be helpful to know why not.

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