Comments on: HMO Systems Can Be Tantamount to Blackmail

By: brainwave

brainwave — Fri, 18 Sep 2009 09:50:55 +0000

Thanks for this! I’ve been reading over at the Brainwave Entrainment Forums, and viewing this post was the ideal confirmation for much of the info I found out.

By: ddsharper

ddsharper — Thu, 09 Jul 2009 05:35:09 +0000

In my opinion, you are one of the victims of the HMO act of 1973, created by the US government, codified and snuck into the health care system without permission from citizens. Most HMOs, due to the fighting for their rights by OB-GYN docs, consider gynecologists primary care physicians and thus you don’t need a referral. The key to navigating the system is to lie. The safest is to say you have been bleeding or that you went to an outside physician, keeping the name private, and they recommended a referral. The referring physician, or PA in your case, has to have a legitimate reason to refer or the insurance company will reject the referral. This is a terrible system that actually kills people and when the government gets its proverbial feet completely through the door, with universal health care.

By: laurie edwards

laurie edwards — Tue, 26 Aug 2008 23:03:08 +0000

Ugh, what a nightmare. So frustrating that there is so much inefficiency and ill logic standing between the patient and the access to care the patient needs! I just read the follow-up, too, and I can’t even believe the ineptitude involved here. I hope you do make that call!