Need some advice here - I ran away from American hospital - Page 3

Ziggae_6 · #21 (**permalink**) 07-13-2008, 06:54 PM

Quote:

Originally Posted by Forest119

I would be very surprised if the insurance company refuses to cover your first trip to the hospital because you didn't get your gall bladder removed. This just doesn't make sense. When you talk to them (your insurance company), let them know you want to get a second opinion.

If you have difficulty with them, don't give up. You really have to keep after insurance companies in the U.S. to get them to provide the coverage they should. Too many times their first reaction is to deny coverage, but you can appeal and get it covered it you keep after them. A real pain, but that is the way it goes.

I agree. This should not have an effect on what they have done up to now. My concern would be more upon coverage of future problems if you are not following advice. But all of this is secondary, get to the doctor, STAT!

B L Zeebub · #22 (**permalink**) 07-13-2008, 10:19 PM

Quote:

Originally Posted by Pzatchok

You got treatment and they wanted to do surgery? In under 24 hours?

Dang, don't let the Europians and Canadians hear that. They think they have it great only waiting a few months for the same thing.

And all it took was a few hours of waiting and some questions.

In the UK if it was an emergency (this was) he would be "done" right away!

Spare · #23 (**permalink**) 07-13-2008, 10:26 PM

Quote:

Originally Posted by Forest119

I would be very surprised if the insurance company refuses to cover your first trip to the hospital because you didn't get your gall bladder removed. This just doesn't make sense. When you talk to them (your insurance company), let them know you want to get a second opinion.

If you have difficulty with them, don't give up. You really have to keep after insurance companies in the U.S. to get them to provide the coverage they should. Too many times their first reaction is to deny coverage, but you can appeal and get it covered it you keep after them. A real pain, but that is the way it goes.

They will cover the first trip --- but when he took his care into his own hands, by refusing the doctor's advice, that's when he created a problem. Depending on his policy, any subsequent care could be denied coverage.

But, if the doctor was right, it isn't going to make much difference. He won't live long unless he gets it removed.

Makedde · #24 (**permalink**) 07-13-2008, 11:38 PM

Quote:

Originally Posted by jcwang

Why don't they just remove the gall bladder the first time instead of the stone?

They should have - if the gall bladder was the problem, it should have been removed, along with the gallstones. Some doctors like to put you through more surgery so they can make more money.

I would recommend you get a second opinion so you are 100% sure what you are dealing with.

Spare · #25 (**permalink**) 07-13-2008, 11:46 PM

Quote:

Originally Posted by Makedde

They should have - if the gall bladder was the problem, it should have been removed, along with the gallstones. Some doctors like to put you through more surgery so they can make more money.

I would recommend you get a second opinion so you are 100% sure what you are dealing with.

It's the other way around ... with the exception of a life threatening situation, the doctor cannot legally perform any surgery without his consent ... since he was anesthetized, he couldn't give his consent, so the doctor couldn't operate.

Makedde · #26 (**permalink**) 07-13-2008, 11:48 PM

Quote:

Originally Posted by Spare

It's the other way around ... with the exception of a life threatening situation, the doctor cannot legally perform any surgery without his consent ... since he was anesthetized, he couldn't give his consent, so the doctor couldn't operate.

I understand now - but don't doctors make you sign a form of consent in which, if something needs to removed, the doctor has permission to do so?
Surely that would save on unnecessary surgery?

Spare · #27 (**permalink**) 07-13-2008, 11:49 PM

Quote:

Originally Posted by Makedde

I understand now - but don't doctors make you sign a form of consent in which, if something needs to removed, the doctor has permission to do so?
Surely that would save on unnecessary surgery?

Nope -- the forms are very specific. They could have/should have passed medical power of attorney (the right to make the decision) to his wife or relative, but doesn't sound like they did.

Makedde · #28 (**permalink**) 07-13-2008, 11:53 PM

Quote:

Originally Posted by Spare

Nope -- the forms are very specific. They could have/should have passed medical power of attorney (the right to make the decision) to his wife or relative, but doesn't sound like they did.

Is this what was meant to have happened?

Spare · #29 (**permalink**) 07-13-2008, 11:54 PM

Quote:

Originally Posted by Makedde

Is this what was meant to have happened?

That's the patient's decision -- he was asked. I presume he said no.

Forest119 · #30 (**permalink**) 07-14-2008, 01:57 AM

Quote:

Originally Posted by Spare

They will cover the first trip --- but when he took his care into his own hands, by refusing the doctor's advice, that's when he created a problem. Depending on his policy, any subsequent care could be denied coverage.

I think it depends on the insurer and the policy. Some allow (or even encourage) second opinions. He will have to talk to his insurance company to find out.

Thread Tools
Show Printable Version Email this Page
Display Modes
Linear Mode Switch to Hybrid Mode Switch to Threaded Mode

Similar Threads
Thread	Thread Starter	Forum	Replies	Last Post
Senator Kennedy Is In The Hospital	SeminalBlog	Political Blogs	3	05-23-2008 01:42 PM
Hospital Official Behind Retarded Bombers?	SweetnessBlog	Political Blogs	0	02-13-2008 09:40 AM
Hezbollah Using Hospital as HQ	JP5	Terrorism	57	08-17-2006 02:37 PM
45 Bodies Found in N.O. hospital	JP5	Current Events	23	09-14-2005 10:04 AM
VP Cheney checks into Hospital	f100supersabr	Current Events	11	11-15-2004 03:51 PM