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Re: Dilemma #3

> Now this family will be
> moving to N.Y. in two weeks (hooray) and called for a check-up "just to
> make sure everything's all right before they move."
>
> So do I:
>
> 1) cave in, or do I
>
> 2) have my staff gently explain that their insurance only covers visits
> every two years at his age (which is my standard) and I know a nice
> pediatrician in Long Island who would be happy to assume his care after
> they move!

 One other approach you might take is to point out that it would be better for
them to be seen for a check-up by the physician who will be seeing them after
they move.  That way they can get established at the new office and get to
know the new physician.

Your dilemma is made easier by the fact that they are moving.  Otherwise,
they need to learn the limitations of what the insurance THEY CHOSE covers
and does not covers.  I don't know any way you could charge for any services
under a capitated plan that are not specifically listed in your agreement as
fee for service.

Ken Setter MD
Tulsa, OK