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consultant refers to consultant..

  • 13-07-2015 7:59pm
    #1
    ligertigon
    Closed Accounts Posts: 556 ✭✭✭


    Not sure if this is the correct forum/section, but..

    I was referred by my GP to a consultant in a private hospital.
    After the €200 fee,He advised a particular study for me, asked for my health insurance details, and called a week later saying that my insurance didn't cover it with them, and he referred me to another private hospital/consultant.

    They have just contacted me regards a date with their consultant, and advised another €200 for the privilege.

    Anyone see a problem here?


Comments

  • #2
    Stheno
    Moderators, Business & Finance Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 51,690 Mod ✭✭✭✭Stheno


    ligertigon wrote: »
    Not sure if this is the correct forum/section, but..

    I was referred by my GP to a consultant in a private hospital.
    After the €200 fee,He advised a particular study for me, asked for my health insurance details, and called a week later saying that my insurance didn't cover it with them, and he referred me to another private hospital/consultant.

    They have just contacted me regards a date with their consultant, and advised another €200 for the privilege.

    Anyone see a problem here?

    No to be honest you went to one consultant who prescribed a treatment not covered in their hospital under your insurance, who then found a consultant in a hospital where your insurance covers the procedure

    Do you expect to rock up to the second consultant for the procedure without them having ever seen you before?


  • #3
    ligertigon
    Closed Accounts Posts: 556 ✭✭✭ligertigon


    No.
    But I would expect the GP, to have known if my cover was valid before he sent me there.
    There is also an understanding in private hospitals that nobody is paying for treatment.(their insurers are) Hence, would it not be prudent to check the clients healthcare entitlements prior to any contact?


  • #4
    Sheldons Brain
    Registered Users, Registered Users 2 Posts: 1,394 ✭✭✭Sheldons Brain


    ligertigon wrote: »
    No.
    But I would expect the GP, to have known if my cover was valid before he sent me there.
    There is also an understanding in private hospitals that nobody is paying for treatment.(their insurers are) Hence, would it not be prudent to check the clients healthcare entitlements prior to any contact?

    It would be prudent for the customer to ask, as they know their own health policy.


  • #5
    sullivlo
    Registered Users, Registered Users 2 Posts: 9,994 ✭✭✭sullivlo


    Onus on the patient to check cover unfortunately.


  • #6
    Stheno
    Moderators, Business & Finance Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 51,690 Mod ✭✭✭✭Stheno


    Sheldons Brain wrote: »
    It would be prudent for the customer to ask, as they know their own health policy.

    Yes I've done this with my own insurance, ring the hospital for the code for the procedure, ring health insurance and check if it's covered


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  • #7
    El_Duderino 09
    Registered Users, Registered Users 2 Posts: 20,724 ✭✭✭✭El_Duderino 09


    If the GP knew what the consultant was going to prescribe, then there wouldn't be any need to refer you in the first place.


  • #8
    ligertigon
    Closed Accounts Posts: 556 ✭✭✭ligertigon


    ok thanks for the input.

    "sicko" here we come


  • #9
    El_Duderino 09
    Registered Users, Registered Users 2 Posts: 20,724 ✭✭✭✭El_Duderino 09


    ligertigon wrote: »
    ok thanks for the input.

    "sicko" here we come

    Do you want them to know what's wrong with you before you visit or something?


  • #10
    ligertigon
    Closed Accounts Posts: 556 ✭✭✭ligertigon


    El_Duderino 09 wrote: »
    Do you want them to know what's wrong with you before you visit or something?

    Probably equal chance before and after visit;)


  • #11
    Stheno
    Moderators, Business & Finance Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 51,690 Mod ✭✭✭✭Stheno


    ligertigon wrote: »
    Probably equal chance before and after visit;)

    Well if your GP has a fair idea of what treatment is needed you can check cover before hand.

    I did that with a procedure I needed which was some sort of special heart test.
    Was able to rule out private hospitals that didn't do it under my insurance plan


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