Is it necessary to contact the Insurance company if one needs to schedule an appointment with a doctor at a clinic?
Is it necessary to contact the Insurance company if one needs to schedule an appointment with a doctor at a clinic?
If you are making an appointment for the first time at a specific clinic, then it is highly recommended to do this via medical assistance service of the Insurance Company.Insurance programs provide for several options of service rendering:
- Direct access – a clinic has a list of attached Insured persons and can provide services to them without involvement of the insurance company. It should be well noted that the submittal of information from the insurance company to the clinic pursuant to the conclusion of the contact might take some time.
- Direct access at the initial appeal to the medical assistance service of the Insurance company – in this case the lists of attached persons are given to a clinic only in case of a request from an Insured person for an appointment at that clinic. The follow-up services are rendered similar to the aforementioned direct access option.
- Access via medical assistance service of an insurance company – all appeals for medical assistance are rendered with involvement of the medical assistance service.