Posted by Racer on June 11, 2004, at 14:06:00
In reply to Re: Drs and Insurance » Racer, posted by King Vultan on June 11, 2004, at 12:20:58
LOL! I am laughing, now, and I thank you profoundly for making me laugh. It's such a relief to be able to -- even silently.
My husband and I just opted for a PPO rather than an HMO, despite the pre-existing condition exclusion that's gonna keep me tied to Dr EyeCandy for another six months. In our case, the HMO involved has a separate Behavioral Health HMO which not only dictates the payments to the doctors, but the treatments allowed. Basically, the HMO decides what treatments are appropriate, and only doctors who comply with their models remain in the network. Choosing the PPO was pretty easy once I'd spoken on the telephone with the only pdoc in our area who did med management only for adults. They do the generic SSRIs and CBT, and anything else creates a problem with the HMO. Then again, that HMO also limits other treatments -- including having strict, unbendable rules about how much insulin my husband can use in a month, if you can believe that! (Honest injun, he just got a notice that, from the first of May this year, the insurance company's policy allowed for only 2/3 of the insulin he's used each month for the past two years. That helped us decide, too.)
If I'm ever well enough again, I cross my heart and swear to LIVE that I will get involved in fighting this sort of idiotic policy based treatment boondoggle. Maybe if I tell Dr EyeCandy that, he'll get more aggressive with trying to treat me?
poster:Racer
thread:355544
URL: http://www.dr-bob.org/babble/20040608/msgs/355788.html