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Question for Pearlscale

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Old 07-10-2006, 05:33 PM   #1
Join Date: May 2005
Posts: 95
lynnp HB User
Question for Pearlscale

If you don't mind me asking, what type of insurance do you have and how did you find out that they dropped Jemsek as a provider? He is my doctor, too, and with having his medical license revoked with a stay, I am holding my breath to see if my insurance company will drop him too. I have Aetna HMO. Have you heard anything about the requirements the NC medical board is going to put on him?

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Old 07-10-2006, 05:55 PM   #2
Senior Veteran
Join Date: Aug 2005
Location: North Carolina
Posts: 1,247
Pearlscale HB User
Re: Question for Pearlscale

BCBSofNC notified Jemsek Clinic that they were dropping them from in-network. I received a call Thursday last week that this had happened. I had to pay out of pocket today and will have to submit to BCBS and see if they pay out of network. I think it is middle of the month that Dr Jemsek has to go back before the board for conditions. My visit today was level 4 established at $157.00 (I think, I would have to look to be sure.) I saw the PA. I would not be surprised at other insurance companies following this course of action. Its their way out of paying. I would call Jemsek Clinic if you want to double check on this, if you call the insurance co that would possibly send up a red flag that you wouldn't want to do.

Hope this helps.

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