Saturday, February 27, 2010

Denied request to join Medicare Advantage HMO Network

Question
can a Medicare Advantage HMO plan deny my request to join their network stating 'Panel closed due to network adequacy.'

DME provider in Tennessee


Answer
Hi Joy



They can make contracts with providers as long as they follow Medicare guidelines.  They have to have a minimum amount of providers in certain categories and have their network reviewed by Medicare.  If they already have adequate numbers in their network, they are not required to add more.



John