Hmmm. I had best tell my HMO that the 45 minutes my doc spends with me is not in alignment with your experience.
I also can go to any provider in the directory and I need not beg permission.
The role of a medical provider is to listen, assess, plan and follow through. If there are any bumps in the road along the way, it is generally the office staffs job to make repairs.
My doc does not have a viper at the reception desk either. If you are out of line as an employee, your job is in demand. Others will happily fill your clogs.
If the patient is a moron, the listening continues and the issue needs to be taken out of lobby. It is a HIPAA violation to discuss these things in earshot of others.
So, my healthcare is really NOT as good as I thought? My top notch neurosurgeon needs to reconsider his affiliation and be a push em' out the door kinda guy?
Nah. I have operated within the frame of insurance regulations for 26 years. I have had HMO coverage for 22 of those 26 years. When meds are rejected at the pharmacy, the former or current employer is responsible, NOT the pharmacy or MD prescribing. If it is Medicare, there are ways to get it covered but it may take work. The Dr cannot possibly know who covers what as it changes constantly.
So, I will keep my HMO as will my husband who was treated for melanoma of the eye. Chemo IN HIS EYE and the whole bit.
HMO.
Health Maintenance Organization.
It is often up to the covered person to manage this. It is not that difficult. In our case, it's a no-brainer.
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