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You can't help but feel sorry for people with quack doctors. I'm dealing with a gentleman now, age 61 and his family practice doctor thought ...


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Old 02-09-2007, 11:56 AM   #1
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You can't help but feel sorry for people with quack doctors. I'm dealing with a gentleman now, age 61 and his family practice doctor thought he might have a heart condition after some tests. He apparantly mis-read the test results and "saw something he didn't like" and referred him to a cardiologist.

Client saw the cardiologist who ran a lot of tests including a complete stress test. Found nothing, claimed he has no idea what the first doctor saw but he's perfectly healthy. All this was six months ago. The cardiologist after the appointment literally said "I have no idea why you were referred to me."

Not a single carrier will take him - Assurant, GR, Blue, Aetna, etc...They all want the "diagnosis" from the first doctor. There was none. I put apps through two carriers, both orderes APSs and both declined without comment. Client sought a detailed explanation for the decline and has yet to receive one except "upon review of your medical records we cannot extend coverage to you at this time." He faxed me his records - nothing's there.

So basically this guy is screwed.
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Old 02-09-2007, 12:15 PM   #2
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Perhaps MEGA might be able to help :lol:
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Old 02-09-2007, 12:16 PM   #3
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Hey, just omit it from the app and it'll sail right through.
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Old 02-09-2007, 12:23 PM   #4
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Does the guy currently have coverage?
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Old 02-09-2007, 12:30 PM   #5
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Yes, but his premiums have risen and he can no longer afford his current plan.
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Old 02-09-2007, 12:34 PM   #6
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That is a shame. Perhaps he might want to look into the
Behavorial Health Qualifications of MHIP and use some creative thinking.
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Old 02-09-2007, 12:35 PM   #7
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Hummmmm.......sounds like a malpractice case to me.....
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Old 02-09-2007, 01:32 PM   #8
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I'm on statins, so I guess I need to make sure I continue to get them from my endocrinologist or primary care doctor and refuse to go see a cardiologist. :| I'm only 32 and won't see a cardiologist anyway.
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Old 02-09-2007, 01:44 PM   #9
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Originally Posted by STIBROKER@AUSTIN.RR.COM
hummmmm.......sounds like a malpractice case to me.....
In the event that there was an incorrect diagnosis then yes you are correct. However, the comment was made in reference to a therapist using creative thinking because that is one component of their training.
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Old 02-09-2007, 04:42 PM   #10
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John

Why won't the "practice" dr take the results from the cardiologist and adjust those medical records? After all, he "referred" him to this dr, right?

Sloppy recordkeeping which exposes patient to a potential financial ruin is like faulty misdiagnosis.

BTW...just attended a mtg where there is a major med for sub-std people...including 60-65 and diabetics, heart, etc. Prem is 575/mo for single, about 1100 for 2.....don't know if they're in md
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Old 02-09-2007, 04:49 PM   #11
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Company name?
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Old 02-09-2007, 06:07 PM   #12
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Contact Ray Palombo in Calif @ 866-380-3525 for C&M,

They are using some Ny based co for this.

Tell him you spoke with me....Helen Cieslik in Atl.., Ga....he is the mktg director and was just here.
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Old 02-09-2007, 06:21 PM   #13
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Originally Posted by policy doctor
BTW...just attended a mtg where there is a major med for sub-std people...including 60-65 and diabetics, heart, etc. Prem is 575/mo for single, about 1100 for 2.....don't know if they're in md
sounds like a uninsured health insurance scam......
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Old 02-15-2007, 01:34 PM   #14
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I had a very similar situation. Nice lady -- we'll call her Jane -- is 52. Never had health problems before. Carries an Assurant One Deductible plan and has for years.

Pushed by peer pressure, she goes to a free women's health screening with some card club friends. It's more of a social outing than anything. The volunteer reading the results says her liver enzyme count is high and she should see her GP. She goes to the doctor, who checks her out and says, "It's probably nothing, but we'll run tests just to make sure." In running the tests (out-of-network at a University hospital three hours away and out-of-state), a tech notices that her liver is just fine but there seems to be a spot on her lung. Doctor gets scared and sends her to a specialist, who orders further tests. New doc reads the results and says, and I quote, "There is absolutely nothing wrong with you. The tech must've been on drugs."

Throughout this month-long ordeal, she racks up about $3,000 in claims. At renewal, Assurant raises her rates. She's applied with a new company who has taken 30 days so far to review her medical records in underwriting. No decision yet.

So, because of an overzealous volunteer, a precautionary doctor, and a confused tech, her medical record now has a black eye. She, meanwhile, is in perfectly good health.

Do we tell people who carry individual insurance to avoid free screenings? "If it ain't broke, don't fix it?" I have more integrity than that, but I'm also trying to protect clients' pocketbooks. Where's the balance?

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