Our tech team has launched updates to The Nest today. As a result of these updates, members of the Nest Community will need to change their password in order to continue participating in the community. In addition, The Nest community member's avatars will be replaced with generic default avatars. If you wish to revert to your original avatar, you will need to re-upload it via The Nest.
If you have questions about this, please email help@theknot.com.
Thank you.
Note: This only affects The Nest's community members and will not affect members on The Bump or The Knot.
"out of network" insurance question
So my H just got a new job. I SAH so his insurance covers all 3 of us. It's better insurance than where he was at, but the bad thing is that our family practice doctor, who we all 3 use as a primary care physician, is considered out of network. 
If we stick with her, the insurance only covers a portion of our visits/services. I think it would get pricey if we continues to use her, but we love her.
I just called the dr's office to see what I could do about this and they told me to contact the insurance company to see what our options are or to even see if our doctor could be added to the network. FWIW, other doctors in her same practice/office are IN network. Frustrating!
Does anyone know anything about how this works? Am I doomed to have to choose a new doctor?
Re: "out of network" insurance question
You can ask the insurance company to contact her to get her in the network. Basically the provider (your doctor) chooses whether to be in-network or not. So it's really up to her. Or so that's what I know, just having set up an insurance program for a portion of the employees at my work. If she doesn't get into the network, and is considered out-of-network, you'll have to pay whatever your insurance allows, and they probably won't pay much since she isn't giving them the discounts that they want to see from those in the network. There is always a chance that she is in a secondary network, which still gives a discount, just usually not as high as the primary network. Sorry, thats kind of confusing. Basically, if your insurance company can't/won't strike a contract with her, you can either pay the price or find a new doctor:(
To be honest, I personally think it's her responsibility to get in the network. But you can help it along. Here is an excerpt from UHC's process. I'm not sure what ins company you have, but by calling their customer service and asking how the process works, they could tell you what your doctor needs to do. The below process then gives the number they should call, etc. but it's probably different for your company.
Refer a physician or other health care professional to UnitedHealthcare
At UnitedHealthcare, we rely on participating physicians and health care professionals to: } Form relationships with our UnitedHealthcare members and their families; and } Provide members with appropriate, individualized medical care or direct them to appropriate specialist treatment. Each participating physician and health care professional is carefully evaluated before he or she is accepted into the UnitedHealthcare network. If your physician or health care professional is interested in participating with UnitedHealthcare: 1 Take this information directly to your physician or health care professional. If your physician or health care professional is not in the UnitedHealthcare network, please provide him or her with the information included on this referral form. This will enable your physician or health care professional to communicate his or her interest in joining the UnitedHealthcare network and start the application process. a. Chiropractors and outpatient physical/speech/occupational therapists should call OptumHealth Physical Health at (888) 676-7768. b. Behavioral Health physicians/health care professionals should visit ubhonline.com or call United Behavioral Health at (800) 333-8724. 2 Your physician or health care professional should contact and work directly with their local UnitedHealthcare Network Management Department. A completed application does not mean the physician or health care professional has been accepted into the network. The credentialing process applies to all prospective physicians and health care professionals. The credentialing and contracting process may take as long as three to six months to complete. Note: The network in your area may be temporarily closed to certain specialties ? which means the network currently has the appropriate number of physicians and health care professionals to service our members. 3 To receive the highest levels of benefit coverage, be sure to verify the network participation status of your physician or health care professional. It is your responsibility to ensure that your physician or health care professional is participating in the UnitedHealthcare network. You can verify participation by calling the Customer Care number on the back of your member ID card or by searching online at uhc.com > Find a Physician or myuhc.com > Find Physician or Facility. Join our Network } Growing membership - We offer broad, convenient access to quality, affordable health care services to more than 26 million people. Customers include large national and regional businesses, small local employers and individuals in all fifty states. } Incentives for in-network utilization - Benefit designs, easy-to-use online directories and fixed maximum reimbursement policy for non-network physicians maximize in-network utilization. } Innovative electronic solutions - UnitedHealthcareOnline.com saves you time and paperwork with online patient eligibility information, claim submission, real-time adjudication and Electronic Payments and Statements (EPS). } Ease of administration - Many plans offer members open access and don?t require referrals. } Commitment to evidence-based medicine - We use national industry standards, medical specialty society and consensus standards to evaluate quality and cost efficiency for the purpose of advancing safe, timely, effective, efficient, equitable and patient-centered care.