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To: kaila

I know that there is “hmo” coverage without having to use the carefully legally not responsible for anything that goes wrong kaiser. But I believe doc’s dont like hmo coverage.

I have called many a specialist to get an appt, and the bulldog lady at the front desk has an attitude with me and asks what insurance I have. When I say Aetna PPO, they get nicer and find me an appt.

What gets me in to all the best docs?


20 posted on 11/30/2014 11:06:49 AM PST by Yaelle
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To: Yaelle
What gets me in to all the best docs?

The cheaper the insurance plan, the fewer doctors that will take it. Blue Cross is notoriously cheap, and tons of doctors have stopped accepting it. Blue Shield is more expensive, and has much larger provider network. FIgure out what doctors you want to see, ask what insurance they accept, and buy the cheapest plan that they will take, at the deductible level you feel comfortable with.

26 posted on 11/30/2014 11:12:06 AM PST by Wayne07
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To: Yaelle

What gets me in to all the best docs?

Walk in with at least $5000 in CASH and see how you are treated, You will go Right to the front of the line


28 posted on 11/30/2014 11:15:01 AM PST by eyeamok
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To: Yaelle
From what I can tell, most docs will not take Obamacare. That means you will not be able to easily find a primary care physician under Obamacare. You could pay cash to see a PCP, but even PCPs do not like to see cash paying patients. They wind up with a situation in which the patients need specialty care or testing, and while the patient could afford to pay cash for the PCP visit, they may not be able to afford the rest. As a result, the liability falls on to the PCP who has to beg specialists to take the cash paying patient. People who can afford concierge care most likely have back up insurance.
However much you dislike Kaiser, you just have to know how to play the system.If you see a physician, be direct and simple with your symptoms. Do not demand pain meds. Ask them if you need a certain test ( example- MRI) and if they dont think you need it, ask them why. If you come off as reasonable, you will get what you want.If you are perceived as a high quality patient, they will most likely order what is right for you.
Kaiser most likely contracts super specialty services ( like brain surgery) out in the community, anyway. Please look at the Kaiser contract, and see if outside specialist are contracted with them. If they are contracted, you will be treated nice because the outside specialists want the referral business.
33 posted on 11/30/2014 11:17:37 AM PST by kaila
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