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Fri, 8 Aug 1997 18:33:21 -0800
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<<Disclaimer: Verify this information before applying it to your situation.>>

Hi Friends,
        Not to long ago I posted a panic letter regarding my husband's work
insurance changing to Kaiser-Permanente.  I recieved the following advice:

>Iwanted to let you know that you might beable to request this Dr. to be
>paid out of network.Your ins.company would know if this is possible.You
>can also reqest that the DR. be submitted to your HMO
>Hope it works.
=============
>In my area (northern California), Kaiser has their own facilities and
>     each doctor works at the facility.  I have been very happy with Kaiser
>     in the years I have used their service.  There are probably
>     10-30doctors that work there you can choose from.  You probably will
>     not be able to go to a doctor outside the facility.
>
>     Kaiser is a great place to get medical care if you can do a little bit
>     of advocacy for yourself, making sure you go to appointments and ask
>     questions.  It is pretty easy to see specialists when it is needed and
>     the doctors are not likely to "rediagnose" you.  It is too expensive
>     and you should have access to your history since you own it and can
>     provide it to your new doctor.
>
>     Call and ask the advice nurse for help choosing a GP with lots of
>     experience with GI matters.  You will find advice nurses are quite a
>     big advantage that makes Kaiser a terrific health buy.
>
>     My company does not provide Kaiser but my husband's does so I use his
>     insurance and never use my own.  I like the service and consistency we
>     get withone stop health care.
================

> I am going to give you two names and numbers whom I believe can help
>you or guide you to some one that can.
>  Pat Berger  909-793-3712    Pat is the chairperson of the Redlands
>Area Celiac Sprue Support Group, CSA Chapter #44. Pat may still be on
>vacation, so I'll give you a second name.
>  Roxie Smith  909-792-0392 is very active in this group and should be
>able to help you if Pat is still away.
>  You might be interested in joining this very relaxed group in there
>monthly meetings.
=================

>Dr. Barbara Bernard - contact the Celiac Disease Foun. in Studio City -
>they are wonderful - Dr. Bernard comes to all the meetings andis herself
>a celiac.
=================

>If you happen to get stuck with a doctor who either doesn't
>understand celiac disease or doesn't care, you might try going in
>with a sheaf of printed letters from this subscription.  When my
>mother-in-law's doctor got bad info from a gastroenterologist, I
>wrote to the list asking people for back-up on what I thought was
>correct.  They agreed I was correct.  I printed out all the letters
>(about 20) and took them with me to the doctor and said, "Read these.
> These are from celiacs.  Nobody knows more about the disease than
>these educated, articulate, well-read, knowledgeable people who all
>HAVE the disease.  They KNOW what they are talking about."
=================

>Iwanted to let you know that you might beable to request this Dr. to be
>paid out of network.Your ins.company would know if this is possible.You
>can also reqest that the DR. be submitted to your HMO
>Hope it works.

        Apparently, Kaiser is not so bad.  As you see, only one person had
anything really negative to say about it.  An added bonus to myself and my
husband is that he will be able to get some much needed orthotics, and I
will be able to get new glasses.  (also, much needed).

Thanks to all who responded, and appologies to any I may have inadvertantly
left out,

Lynda

\*/\*/\*/ Lynda \*/ [log in to unmask] \*/ So. Calif.\*/\*/ _@v
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