Seeking Care

Why is it important to seek a second opinion from a different doctor?

A second doctor may approach your symptoms from a different perspective and level of expertise

Which type of health organization will not help pay for doctors who are out-of-network?

Health Maintenance Organization (HMO)

You should expect to pay all expenses for a doctor who is out-of-network if you have a health plan that is part of a __________.

Health Maintenance Organization (HMO)

Which of the following would not be considered in or out of network by health insurance plans?

Health food stores

If you want to verify insurance coverage of a doctor, what are you trying to figure out?

If the doctor is in-network and part of your plan

Under most health insurance plans, you see a ________for common illnesses and regular checkups and get a referral to a ________if needed.

primary care physician, specialist

True or False: When seeking medical care, you only need to verify if doctors are in-network for insurance purposes.

False, you also need to verify if pharmacies or other facilities like hospitals are in-network.

Privacy is your right as a patient. You should know that some of your medical information may be shared with all of the following except________.

Guidance counselors

If you have asked for privacy and have seen a doctor without a parent or guardian, how could they possibly still know what tests or medicines you have asked for?

Medicines and tests can be displayed on health insurance claims.

Which type of health organization will help pay for doctors who are out-of-network but will pay a smaller percentage than for doctors who are in-network?

Preferred Provider Organization (PPO)

If you would like to have regular wellness checkups like yearly physicals, where should you go?

Primary Care Physician's office

What should you come prepared to discuss during a doctor's appointment?

Severity and frequency of symptoms

To make sure that you are able to afford your medical care, what is one thing you should check before seeing a doctor?

Verify insurance coverage

If a doctor is __________their fees have been negotiated with your health insurance company and will be less expensive than other doctors.

in-network

When trying to have your health insurance help cover most of your medical costs you should check to see if your doctor is ________.

in-network

When trying to have your health insurance help cover most of your medical costs you should make sure that your doctor is not_________.

out-of-network

Hospitals, doctors and __________ can all be considered in or out of network by health insurance plans.

pharmacies

A ________is a doctor that you see to treat common illnesses, chronic conditions, and for wellness checkups

primary care physician

When is a good time to verify if your doctor is covered by your insurance plan?

Before the doctor's appointment

Under most health insurance plans, which kind of doctor requires a referral?

Specialist

Who is responsible for describing symptoms and asking clarifying questions during a doctor's appointment?

You

Asking for privacy is your right as a patient. Who should you talk to in order to request that your medications and tests are not shared with the health insurance policyholder?

Your health insurance company

When should you consider going to an Emergency Room for medical care?

A life-threatening medical situation

What are the benefits of generic medication?

As effective as brand name medication and less expensive

What is one way to lower your prescription drug costs?

Ask for generic medications

If generic medication does not work, what can you do?

Ask health insurance plan to cover a brand name medication

Which of the following should you not discuss with your doctor during an appointment?

Scheduling your next appointment.

If you feel that you were not listened to or not respected by a doctor what can you do?

Seek a second opinion from a different doctor

If you don't trust what doctor has diagnosed you with, what can you do?

Seek a second opinion from a different doctor.

If you want to make sure that you are seeing the same doctor regularly so that they get to know you and your health history, you should go to ________for your medical care

a Primary Care Physician's office