Posted by SheilaC on July 14, 2009, at 8:02:18
In reply to Re: Share w/Family doc?, posted by yxibow on July 14, 2009, at 3:15:45
> Its hard to say... I was examining some provisions of HIPAA at the Center for Democracy and Technology and I have to say that the rights that one thinks they have aren't necessarily what they are.
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> Things appear to be slightly stronger and more broadly interpreted with the new administration but there remains a lot of work to ensure privacy of healthcare information.
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> HIPAA provides a minimum level and states must comply, however states can provide a higher level of protection and indeed ... oh how shall I say it politely.... more enlightened state laws do.
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> As for life insurance... people, yes, are still denied for genetic disorders, etc... but this occurs more frequently with personal insurance.
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> With group insurance this is much more minimal.
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> However you had stated you run your psychiatric expenses through your health insurance.
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> I can't really give a definitive answer except to say that the degree to which information may be drawn tertiary probably might make a difference if there is a relation between your life insurance carrier and the health insurance.
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> As for my situation... well... let's say its private... it doesn't go through insurance.
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> However pharmacy expenses in general do go through insurance, from various doctors.
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> How many bean counters does it take to add up things, who knows.
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> I'd just prefer to have less information than more.
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> As for sharing information with your doctor -- that's up to you, I do have a relationship between my doctor and my psychiatrist, although I don't know if that is currently renewed.
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> I think that if you receive medication and other services from your family doctor, it would behoove you to share what medications you receive from your psychiatrist as there could be conflicts, but that is up to you.
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> If you don't, I would share what is provided from your family doctor in private with your psychiatrist.
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> Because at some point, if medication list X is not compatible with medication list Y, there could be serious consequences for your health.
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> If there's nothing you get from your doctor, well then maybe that's a decision that may make you feel better to keep things within the psychiatrist's office.
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> However, and I'm making things probably more confusing -- if you take medications from your psychiatrist that should have blood draws and/or EKGs, etc... a psychiatrist can write a prescription for such a thing at least in this area, but he/she may not be part of a practice/hospital that has facilities for this.
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> You may have to go to a preferred test center provider for this.
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> I understand your dilemma and this is, besides the gaps in health care, what is f*'d up in the US, medical privacy.
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> Again, some states are more strict.
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> -- tidingsThis is exactly why for a while I had 2 family docs. One family doc that I would share everything with (and tell him about my pdoc stuff and meds). Then I had another separate family doc that I would use for minor things like colds, etc. and I would use that doctor as a reference for my private life insurance policy.
I hate to be deceptive, but if I were to be honest with my own doctor, my life insurance would drop me. Since I take psych meds, I would be considered a high risk.
Its not fair, but if I have to be devious in order to make sure my family is taken care of in the event of my death, then that is what I will do.
If anyone has any answers out there as to how not to be devious, let me know.
Until then, I guess I will continue to have 2 family docs in 2 different towns.
poster:SheilaC
thread:906404
URL: http://www.dr-bob.org/babble/20090709/msgs/906694.html