I just called to schedule my annual appointment with my dermatologist that I have seen for several years. I was informed that – due to Obamacare – I needed a referral from my primary care physician before I can see my dermatologist. So, I called my primary care physician to find out I have to go there, I can’t get in for four weeks, and I will have to pay a co-pay for the visit.
SERIOUSLY!!! I thought this was healthcare REFORM???? Something that is (1) delaying the real appointment I need, (2) costing me time away from work for a primary care appointment I DONT NEED, and (3) costing me more money……..please explain how this is reform? I am absolutely disgusted about this!!!
In a Health Maintenance Organization (HMO) you'll typically need a referral from a primary care physician (PCP) to see (PCP) to see a specialist like a dermatologist.
Your PCP coordinates your care. One of the ways an HMO keeps costs down is by having a focused network and using PCP referrals. The long wait times are due to the demand for your dermatologist, now more people can see them. Copays are a way of keeping premium costs down. Generally, the more popular and more affordable plans got a lot of sign ups. So the networks that participate in those plans can tend to be a little over-booked. This should become less of a problem as supply of doctors reaches to meet the demand of policy holders.