Posts Tagged Medical
Write a Certified Mail, Return Receipt Requested Letter to the Appropriate Person at the HMO Part 2
Posted by Dave in Business, Information on March 24, 2012
If the person reviewing your letter feels you are making a good case for your state agency or a potential lawsuit, the HMO will think twice about continuing to deny the requested medical care. If such letters find their way to lawyers for the HMO, and the lawyers feel that the HMO is threatened by [...]
Ask Your General Physician to Consider the Request
Your first line of attack for getting specialized or other medical care from someone other than your general physician is your general physician. In functioning as the gatekeeper, your general physician determines whether to refer you for specialized or other medical care.
Specialists, Testing, Drugs, and Other Medical Care
General or primary care physicians for HMOs are provided with direct and indirect incentives to limit the use of specialists, testing, drugs, and other types of medical care. This has proven to be a controversial and difficult matter.
Transfer All of Your Medical Records to Your General Physician
An essential part of the introductory process is for you to arrange to send all medical records for you (and your family) to your new general physician. Remember that some medical records—such as x-rays, CAT scans, MRIs, sonograms, and some medical reports—are often retained at hospitals or other facilities you may have visited.
Forming a Relationship with Your HMO
When you join an HMO, it is important to begin the relationship in the best possible manner. The quality of services you receive from your HMO will be enhanced if you follow a few simple principles in dealing with it.
