McGilligan MD

02/06/2026

📣📣📣Medicare Advantage HMOs and Medicaid Plans For 2026

HMO plans and Medicaid plans control costs by only approving orders (medications, imaging, labwork) ordered by their own HMO in-network primary care doctors. This means they might not pay for those tests or medications if they are ordered by a non-HMO or Medicaid primary care physician. McGilligan MD is out of network with all insurances since direct primary care does not bill insurance at all.

Our orders and prescriptions are still valid but your plan may not pay for them. If your insurance does not pay we may recommend using cost saving options like GoodRx or pharmacy savings clubs. We may also recommend using the low negotiated cash rates we have with Labcorp (most basic tests are less than $10) or using Proscan cash pricing. We often recommend these options for commercially insured patients as well. Often they end up being less expensive than going through your insurance. Our doctors can advise you as to whether paying cash or going through insurance makes the most financial sense for you.

Increasingly, insurance companies are restricting care and denying prior authorizations. While it happens with all plans, it is worse with HMOs. This is occurring even as prices to purchase these plans have gone up significantly. Medicare Advantage HMO plans may seem like a reasonable choice when people are healthy, but once you start needing MRIs or CT scans or get diagnosed with a chronic illness, they no longer are cost effective.

If you have further questions, please call our office manager Meredith at 513-898-1400.

02/03/2026

Honoring these two today in recognition of National Women Physicians Day. But who are we kidding, every day watching Dr. Becky and Dr. Katie is a lesson in empathy, compassion and concern for others.

Two of the best and we are so grateful for their expertise and care for those around them. Thank you both for being the example to which others should be held to!

-McGilligan MD Staff

01/26/2026

It’s going to be especially cold this week so when coming to the office- give yourself a little extra time and bundle up as much as you can! The wind chill is supposed to be below zero most of the week. We want everyone safe!

01/26/2026

Weather Information Alert for McGilligan MD:

"Out of an abundance of caution, we are closing the office for in person visits today. Our staff will call patients scheduled for this afternoon to offer either a phone visit or to reschedule for later this week.

Our physicians will be responding to patients throughout the day. Please stay safe, warm, and indoors so that the road crews and emergency personnel can safely navigate our snow and ice covered roads."

01/23/2026

01/20/2026

📣📣📣Medicare Advantage HMOs and Medicaid Plans For 2026

HMO plans and Medicaid plans control costs by only approving orders (medications, imaging, labwork) ordered by their own HMO in-network primary care doctors. This means they might not pay for those tests or medications if they are ordered by a non-HMO or Medicaid primary care physician. McGilligan MD is out of network with all insurances since direct primary care does not bill insurance at all.

Our orders and prescriptions are still valid but your plan may not pay for them. If your insurance does not pay we may recommend using cost saving options like GoodRx or pharmacy savings clubs. We may also recommend using the low negotiated cash rates we have with Labcorp (most basic tests are less than $10) or using Proscan cash pricing. We often recommend these options for commercially insured patients as well. Often they end up being less expensive than going through your insurance. Our doctors can advise you as to whether paying cash or going through insurance makes the most financial sense for you.

Increasingly, insurance companies are restricting care and denying prior authorizations. While it happens with all plans, it is worse with HMOs. This is occurring even as prices to purchase these plans have gone up significantly. Medicare Advantage HMO plans may seem like a reasonable choice when people are healthy, but once you start needing MRIs or CT scans or get diagnosed with a chronic illness, they no longer are cost effective.

If you have further questions, please call our office manager Meredith at 513-898-1400.

01/20/2026

A little humor 😂

01/19/2026

Some laughs for this cold Monday morning.

01/14/2026

Balance is such a key to overall health and well being. It begs the question “what am I doing to be good to myself?”

01/13/2026

📣📣📣Medicare Advantage HMOs and Medicaid Plans For 2026

HMO plans and Medicaid plans control costs by only approving orders (medications, imaging, labwork) ordered by their own HMO in-network primary care doctors. This means they might not pay for those tests or medications if they are ordered by a non-HMO or Medicaid primary care physician. McGilligan MD is out of network with all insurances since direct primary care does not bill insurance at all.

Our orders and prescriptions are still valid but your plan may not pay for them. If your insurance does not pay we may recommend using cost saving options like GoodRx or pharmacy savings clubs. We may also recommend using the low negotiated cash rates we have with Labcorp (most basic tests are less than $10) or using Proscan cash pricing. We often recommend these options for commercially insured patients as well. Often they end up being less expensive than going through your insurance. Our doctors can advise you as to whether paying cash or going through insurance makes the most financial sense for you.

Increasingly, insurance companies are restricting care and denying prior authorizations. While it happens with all plans, it is worse with HMOs. This is occurring even as prices to purchase these plans have gone up significantly. Medicare Advantage HMO plans may seem like a reasonable choice when people are healthy, but once you start needing MRIs or CT scans or get diagnosed with a chronic illness, they no longer are cost effective.

If you have further questions, please call our office manager Meredith at 513-898-1400.

01/09/2026

Happy Birthday to our wonderful office manager Meredith! As many of you already know, she is caring, thorough, and an amazing advocate for our patients. We all hope you have a wonderful day and a great year!