Thursday, November 29, 2007

A Reliable HMO Just When I Needed It

When I was still in Convergys, my previous contact center, our HMO or health maintenance organization was Maxicare. I just loved it, and I still do. One of the great things about Maxicare is that whenever you need medical assistance, all you need to do is go to an accredited clinic or hospital and they'll take care of the rest. No need for phone calls or a pre-screening in a clinic before you're endorsed to a specialist like Intellicare. Sorry, but I'm not a big fan.

A few months prior to my leaving Convergys, they switched HMOs and Intellicare was a real pain to deal with. You first needed to be seen by a clinic or the company physician for proper endorsements before you're allowed to use the card itself at the hospital. For others it may not seem like a big deal, but for my former officemate, it meant the life of her husband. He was having a really bad case of hypertension and his BP was around 200+ already (I'm not so sure about the details anymore as it's been years since the incident), and the hospital they went to had to turn them down because they "didn't follow Intellicare's procedure." She ended up paying for everything herself instead just so her husband could get immediate treatment, and filed a formal complaint against Intellicare as soon as she got back to work.

When I joined eTelecare, I was pleasantly surprised to find out that they had Maxicare as their HMO. I recently had appendicitis and all my husband and I did was to go to the hospital and everything was taken cared of. I didn't even shell out a single cent for anything while I was confined. And no clinics or pre-evaluations needed too. As soon as I was being treated, a Maxicare representative came in contact with my husband to assure him everything was arranged and he didn't need to worry - and we didn't.


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