Wendy Parmley

Review of SelectHealth

I am really disappointed receiving the second deni...

I am really disappointed receiving the second denial in appeal for my husband s needed physician appointment. He has been going blind and his paneled eye doctor referred him to the Moran at U of U over a year ago because it was out of his scope and there really is no place like the Moran. Gratefully a year ago, all the Moran docs were approved. Despite a difficult authorization process, we were very grateful. Now, after 52 visits to try to preserve what vision he has left, and two surgeries, multiple emergent visits, and unexpected setbacks and complications, he has been referred for a follow up visit with the neuro-ophthalmologist at Moran. SelectHealth has decided now is the time to deny coverage. Their review nurses who have worked with us all along don t agree with the decision but said their hands are tied by the medical director. Gratefully it is open enrollment and he is switching insurance to a different company with rave reviews (not Select Health) so he can see his much needed physicians. I don t understand the decision though as SelectHealth wouldn t be out any more money. They only pay the Medicare allowables anyway. It just doesn t make sense and is very disappointing. I worked for Intermountain for 20 years - mostly as a director and nurse manager and have loved everything Intetmountain until now.