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What would you do?

Try and Try again and again (This is my third mass attempt to find a provider)
0 (0%)
Speak to a lawyer
0 (0%)
Contact BCBST for assistance with this matter  (Blue Cross/Blue Shield of Tennessee)
1 (100%)
File a complaint with Medicare
0 (0%)
Accept that persons with HIV are not patients that Tennessee Primary Care doctors want.  (Systemic Descrimination)
0 (0%)

Total Members Voted: 1

Voting closed: November 02, 2015, 08:07:06 AM

Author Topic: Unable to obtain PCP over past year in Tennessee  (Read 230 times)

0 Members and 1 Guest are viewing this topic.

Offline rdcatman

  • New Member
  • Posts: 2
Unable to obtain PCP over past year in Tennessee
« on: October 28, 2015, 08:55:06 AM »
Over the past 17 years I have had a medicare advantage plan and able to see a primary care doctor.  I am from Ohio/Pennsylvania areas.  Since moving to Tennessee over the past year I am unable to obtain a PCP. Every doctor has an excuse as to why they are unable to take me as a patient.  Two stated that due to my medical condition that I would have to seek out specialty clinics in order to be treated for minor ailments.  I would like some help to get a primary care doctor.   I have insurance with Blue Cross/Blue Shield of Tennessee.   They just provide the names/numbers of doctor groups who list themselves as PCP's.  How do you get a PCP in Tennessee?

Letter to the primary care association of Tennessee.


I moved to Tennessee on the 28th of November 2014 from the state of Pennsylvania.  I have had  primary care doctors through Medicare over the past 17 years, participating in a Medicare Advantage plan.  The process for finding a pcp has been a simple process; just using my insurance provider's listing of pcp providers and calling to the provider office to set up a new patient intake appointment.  At that appointment I would give insurance provider information, personal medical information, and provide identification, along with seeing the primary care doctor.  Getting a provider is that easy in northern states, reguardless of other pre-existing health conditions.

I have called approximately 15 different primary health care groups over the past 11 months, three from your listing who have made excuses as to why I could not get primary health care through their group.  Most of the denials were of three types:
a) Not accepting patients at this time - call back in 1-3 months
b) Their practice does not accept HIV+ individuals, there are special clinics to serve me.
c) I have to call a special number at 7am on a specific day in the week to get an appointment to sign up for care with their health group, then come in to there office and complete a health assessment form, health background, and provide proof of insurance along with proof of ID.   After completing this I would be set up an appointment to come back in at a future date to actually meet with a primary care doctor.

Three clinics from your Association listing that refused my request for primary health care are:
The Gurthrie Clinic - 1064 Breedlove Street - Memphis TN - Excuse b)
University Family Medicine Center - 1211 Union Street - Memphis TN - Excuse a)
Broad Avenue Health Center - 2861 Broad Avenue - Memphis TN - Excuse a) and c)

There are more doctor groups than these, others are groups listed in my insurance providers handbook.
As to today I still do not have a primary care provider.   There are 20 pcp provider groups listed on your web site for Shelby county TN.  Over this year I have found obtaining a primary care doctor an impossibility, and  to be a process set up in the state of Tennessee in order to discourage or deny certain unwanted groups access to primary medical care.  I really can see how the health of people here reflects the health care system here; a system that excludes a large part of the population; especially the disenfranchised and poor. I feel purposly pushed out of the possibility of having a primary care provider here in this state.  I will be making all of my experience known to other state and federal agencies on the difficulty I see in this state to limit health care in Tennessee.

I have asked for assistance from other agencies and my insurance carrier on help to make this happen, but have not received any assistance for intervention on my behalf.  In the state of Tennessee it is just normal practice to be in violation of Title VI of your nondiscrimination statement, and to deny access to  primary health care.

« Last Edit: October 28, 2015, 08:59:42 AM by rdcatman »

Offline AusShep

  • Member
  • Posts: 434
Re: Unable to obtain PCP over past year in Tennessee
« Reply #1 on: October 28, 2015, 11:41:12 AM »
Go to your Blue Cross site and look for specialists in Infectious Disease.  Select one of them as your PCP. 

Where are you getting your HIV prescriptions and bloodwork done now?


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