how come different doctors take different insurance policies even if their in the same facility and do the same specialty?

Question

And why are some site specific?

In: Other

Answer 1

For a while in Texas, certain Medicaid providers weren’t reimbursing doctors for services provided to Medicaid enrolled patients. As a result, a lot of hospitals and physicians were forced to stop accepting those specific providers. They would still accept Medicaid, but only from some of the providers.

Also, some insurance providers in this state are regional. I have Medicare. When I moved from East Texas to West Texas, I had to change my provider and policy because it wasn’t accepted in my new area (different networks). It’s one of the few exceptions to changing your provider outside of open enrollment.