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Re: Dilemma #3

IN>In a message dated 97-08-22 14:01:47 EDT,  (Michael
IN>Sachs) writes:

IN>> 1) cave in, or do I
IN>>
IN>>  2) have my staff gently explain that their insurance only covers visits
IN>>  every two years at his age (which is my standard) and I know a nice
IN>>  pediatrician in Long Island who would be happy to assume his care after
IN>>  they move!
IN>>
IN>I don't know if it would work with that family,but we've used #2 for several
IN>insurance-related problems.  We tell them that their insurance company no
IN>longer covers ___________.  This ranges from lab tests to freezing warts to
IN>suturing lacerations in the office.  (I still can't believe the insurance
IN>company would rather have me send the patient to the ER for suturing a simpl
IN>laceration).

IN>Moshe Adler, MD


I am a pediatric nurse and mother.  I would suggest letting the family
know that the insurance will not cover the visit, but you'd be happy to
see them.  Arrange (with charges as apprpriate) to have a copy of their
records ready and the names of two or three pediatricians in their new
area.  It is frightening to be in a new area and not know who to call if
your child is sick.  Having copy of the chart readily available and a
recent physical should make the new pediatrician more comfortable if a
minor illness (strep throat, ear infection etc. ) needs to be treated
right away.  Think about how you feel when a new patient calls you for
treatment and you don't know anything about them.

Patricia Dyer, RNC
Albany, NY