(Closed) Can’t meet with pediatricians? Is this common?

posted 7 years ago in Babies
Post # 3
Member
7082 posts
Busy Beekeeper
  • Wedding: July 2009

@Lozza:  Please understand that meet and greets are not reimbursed for us.  We do them as a courtesy to the patient’s parents.  In an HMO type situation, you’re looking at a practice that operates on a razor’s edge.  Each practitioner needs to see a certain quota of patients each day to keep the practice operating.  Once they have the child signed up they get a certain amount of money from the plan (capitation) which would make it more financial viable to meet and greet you.  It doesn’t make sense, but it’s just another problem with our medical system in the US, unfortunately.

Post # 4
Member
2538 posts
Sugar bee
  • Wedding: July 2010

@Mrs. DG: Good to know because I didn’t even think about that. Thanks!

@Lozza: Obviously great question.

Post # 5
Member
2821 posts
Sugar bee

We haven’t gone to one yet but the offices we’ve asked people about all have group meetings once or twice a month to talk with some of the physicians that practice there.  So it’s not an individual thing but you still get to see in a group how the practice is run and talk to some of the doctors.  So at least in our area (not DC) I haven’t heard of a place not having some kind of feel it out day.  I’d definately lean towards going to a place that gave you some opportunity to explore.  There’s just some people and places you click with and some you don’t and if there is a practice with a good hospital connection I’d definately lean towards them, I guess it just depends if it’s an option. 

Post # 6
Member
6015 posts
Bee Keeper
  • Wedding: March 2012

Some HMO Dr. Lists show the hospital they are affiliated with, if you want to narrow it down that way.

Post # 7
Member
4137 posts
Honey bee
  • Wedding: May 2011

@Lozza:just curious, what are the good pediatric hospitals near DC? i don’t need one yet, but hopefully in a couple of years!

Post # 9
Member
7365 posts
Busy Beekeeper
  • Wedding: October 2010

Can even you add an unborn child to a plan?  Don’t you need to wait until after they are born and have a socail security # etc? We couldn’t add our daughter to our insurance plan till after she was born and had a birth certificate etc. and then it was retroactive.

I met my daughter’s pediatrician before she was born.  Her pediatrician made a visit to the hospital to check her out the day after I had her.  Maybe I have awesome health insurance and/or a really great pediatrician, but this was my experience.

You should call membership services on your health insurance plan.

Post # 10
Member
6661 posts
Bee Keeper
  • Wedding: May 2010

I don’t have kids, but luckily when I went to an HMO from my awesome full choice plan (I forget what it was called) I already knew and liked both my primary care physician and dentist so it wasn’t an issue. But I could see how this would be a problem, especially if you can’t change it if something goes wrong.

In Manhattan from what I hear the ‘good’ doctors don’t even take insurance! I wouldn’t know because I’m just a working drone so it’s not like I have a choice..

Post # 12
Member
1775 posts
Buzzing bee
  • Wedding: September 2009

I echo what Mrs. DG said.  In the US system, the physician doesn’t get paid unless the patient is present (and the system doesn’t count unborn babies).  As an FP, I have never had a request- the parents already know me because I take care of them too.  That is one option if you want to meet the doctor prior- go in for yourself.  While I don’t get these requests, we sometimes get family members wanting to come in and talk to us without the patient being there, and we have to explain that we can’t do that, but there are more issues with that.

Post # 13
Member
988 posts
Busy bee
  • Wedding: November 2009

@Mrs. DG:  Thank you for mentioning that. 

@Lozza:  It really depends what area you live in.  It’s not essential

Post # 14
Member
1645 posts
Bumble bee
  • Wedding: May 2010

I’m not working with an HMO, so things might be different. I also live in a very small city, so while there are multiple options, we ended up making contact with one of the larger offices that has two locations, early morning and Sat hours, and that has a lot of services in office.

I was told on our hospital tour that we need to have a pediatrician chosen prior to birth, because they release the baby from the hospital without it. At the pediatrician office we are most likely going to go with, there are about 8 drs and a bunch of nurses. They have one of the nurses available for prenatal consults, so we don’t take up the doctor’s time, but still get to see the office and learn about how the office runs.

I can understand if the billing/payment is different for an HMO provider that they might have more difficulty being accomodating. Maybe call back and find out if there is someone you can talk to about any questions that you have, so you can decide if you like the office. If there are more than one doctors in the office, then you can change who you see if you find out you don’t like the doctor after the baby is born, or you can change offices. 

 

Post # 15
Member
1213 posts
Bumble bee
  • Wedding: December 2012

The American Healthcare system really confuses me. From what I understand, if you don’t have insurance then care costs you a buttload. So what happens if you have no insurance and you get cancer? or in an accident? Do the doctors still treat you?

In Australia 99% of parents of healthy kids take their kids to their family doctor normally a general practitioner. And all our healthcare is subsidised by the goverments medicare program, and its capped so if you need expensive care you only need to pay the excess to the cap and then the rest is free.

For example, I had a laparoscopy done in a public hospital, stayed overnight, and all I had to pay was $10 for 14 days worth of pain killers.

 

Post # 16
Member
1645 posts
Bumble bee

@Roux: Yep–Our healthcare system confuses me, too. We’re working on it. ;0

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