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Thread: My New Doctors is Glad to Have Me as a Customer

  1. #11
    Senior Member Golddogs's Avatar
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    Quote Originally Posted by M&K's Retrievers View Post
    I think you will find that they have fewer specialists to refer you to when you need it. If and when you do need to go out of network, you have zilch. Good luck with your coverage. Please do let us hear you crow when you get your rate increase.
    Perhaps some of the concerns some have about "in network" providers stems from a lack of understanding or exposure. During the 25 years I have been on my wife's policy thru her work, ( I paid for my coverage ) we have been in a network. We had the option of going out of network, but it would require a higher co-pay and if we chose the out of network policy or BCBS, a higher premium.

    Never had a need or cause to go out of the network. Multiple clinic's to choose from, specialists in every field and 2 hospitals, now 3 to use. And FYI, my wife is in the health care business, 34 years as a RN ,CRRN, patient advocate and hospital/insurance facilitator. So she see's all sides.

    The network has all areas of health care covered, soup to nuts. We can choose our primary. Change if we choose to. low co-pay for meds. Annual wellness screenings. And all in all everything we or anyone would need. This same network is working with the state ACA and is the #3 provider. Still a huge player in providing HC for business.

    NOT SAYING it will be or is the same nationwide, but there were crummy providers in the country before the ACA and will continue to be. Just as there are and will continue to be quality ones like we use. Fact is NO ONE will know for sure the results for at least a year and maybe longer.

    Menmon,, glad for your new health care situation.
    Last edited by Golddogs; 04-17-2014 at 10:36 AM.
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  2. #12
    Senior Member Daniel J Simoens's Avatar
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    The real question is if you had such problems with your old provider, why did you continue to see him??
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  3. #13
    Senior Member Golddogs's Avatar
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    Quote Originally Posted by Daniel J Simoens View Post
    The real question is if you had such problems with your old provider, why did you continue to see him??
    Probably required by his network.
    Never trust a dog to watch your food!

  4. #14
    Senior Member Ken Bora's Avatar
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    Quote Originally Posted by menmon View Post
    ..... I hit a homerun yesterday when I saw my doctor for the first time.!!!
    I have heard folk say, as I lug a bag of birds past. That Firld Trial Ribbon Fever had no cure???
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  5. #15
    Senior Member JS's Avatar
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    I have the best health insurance of anyone I know, negotiated to cover myself and my wife for life. The ONLY out of pocket expense I incur is a modest co-pay on prescriptions. Even the Medicare Part B premium is picked up by the company once the insured becomes eligible for Medicare as a primary.

    My (former) employer has run the gamut of options to to meet their health insurance obligations. 50 and more years ago, the used a private insurer ... Travelers. In the years since, they have gone to self-insured for a while, several company-owned HMO type networks, a full blown HMO, and now back to a private insurer with an approved network of providers ... United HealthCare. I can not explain the business details of all those strategies but I can say the quality of the coverage has never diminished.

    I had a doctor, clinic and hospital that we both loved. Then the company negotiated a package with the "competing" hospital in town, and the associated network of providers. Overnight, somewhere between 6,000 and 8,000 active employees and nearly that many covered retirees, were required to find new doctors in order to retain the same coverage. This, in a town of around 100,000 (including the neighboring town) with a number of surrounding rural communities.

    (As an interesting side note; the previous network of providers, during those negotiations offered to cut their rate schedule by NEARLY 50% in an effort to hang on to that contract and still could not. Makes you wonder just how much money there is laying around in the health care system. I know this from personal acquaintances higher up in that organization.)

    At the time, we rarely went to a doctor other than annual physical exams, so we were in no hurry to retain another doctor. By the time we got around to it the pickings were slim, due to the sudden glut of patients changing. The doctor we ended up with can not compare to the one we previously had in any way. Not saying the coverage is any different or the care is inadequate, but we were much happier with our previous doctor. The best thing about this guy is that he is more than willing to refer us to a specialist (and we are more than willing to let him).

    We are still far better off than most. My point here is that all this transpired around 10 YEARS AGO, before any government involvement in health insurance, so I DON'T KNOW WHO TO BLAME. I know it wasn't Bush's fault, any more than this current situation is Obama's.

    Folks, this health care shakeup has been coming for decades. And it will continue and expand ... there is no way around it. The astronomical rise in costs, new technology ($$$), research into cures for all sorts of "new" diseases, keeping people alive much, much longer than ever (and increasing). It's a fact of our changing world and a HUGE drain on our economy. Get used to it.

    JS
    Last edited by JS; 04-17-2014 at 11:12 AM.
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  6. #16
    Senior Member menmon's Avatar
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    Quote Originally Posted by road kill View Post
    So your new Doctor is already closer to you than the old one?
    And the new one does everything, where as the old one always refferred you to specialist?

    Interesting.
    She did refer me to a cardo doc because she want me to have a stress test.

    Both of them were about 40 miles from me the new one has an office about 25 miles from me, but as I told her driving into Houston allows me the opportunity to get a good lunch at a good restaurant...something we are lacking in Waller

  7. #17
    Senior Member menmon's Avatar
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    Quote Originally Posted by Tim Carrion View Post
    This little phrase can determine your future opinion. Glad your 1st date went well.


    Tim
    I could have got on plans that would have allowed me to go out of network, but they were more expensive. I looked at the extent of the network and my options were limitless.

  8. #18
    Senior Member menmon's Avatar
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    Quote Originally Posted by swampcollielover View Post
    menmon...Glad you like her, good for you! That is important, but are you somehow trying to tie a good experience with a good Doctor to Obamacare? I don't recall anyone suggesting that Obamacare would force people to only 'bad doctors'. As already noted, the key is you were forced to a new doctor, which in fact Obama repeatedly said would not happen!

    By the way, ,menmon congrats on your continuing success with you dogs.....that is something you seem to really do well....
    I could have got on a plan that would have allowed me to keep seeing my doctor....but I was not overly excited by him anyway. The exchange gave me many different options, something I did not have with the plan the bank provided. My point is that the family practice I went to was excited to have me as a customer. All I have heard is how doctors were leaving the business and unhappy with it. My experience was the oppisite.

  9. #19
    Senior Member menmon's Avatar
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    Quote Originally Posted by swampcollielover View Post
    menmon...Glad you like her, good for you! That is important, but are you somehow trying to tie a good experience with a good Doctor to Obamacare? I don't recall anyone suggesting that Obamacare would force people to only 'bad doctors'. As already noted, the key is you were forced to a new doctor, which in fact Obama repeatedly said would not happen!

    By the way, ,menmon congrats on your continuing success with you dogs.....that is something you seem to really do well....
    Thanks for the kudos! I'm not that good...I'm just blessed with good dogs!
    Last edited by menmon; 04-17-2014 at 11:42 AM.

  10. #20
    Senior Member BonMallari's Avatar
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    Congrats on finding a Doctor you like....Hope that you dont have to see a Doctor often ...Here's to Good Health and a Long Life for you and your family
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