Reply to CareFirst Blue Choice dropped Sibley Memorial from network effective today

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Blue Choice is Care First’s HMO. For those that have been around a while, it is the old CapitalCare.  [/quote]

Even this is inaccurate information. All Blue Choice plans aren’t HMOs. I have a Blue Choice plan that is a PPO. General rule of thumb…never get a PPO if you have a choice. [/quote]

I'm not sure why you would say that. I have only ever had PPOs and both high and low deductible plans. I'm not sure why anyone would pick an HMO over a PPO unless you're in an area with a LARGE Kaiser network.[/quote]

HMO’s typically cover more of the cost, assuming you stay in network. We had HMO’s for 10 years with no issues. We’d have one now but it’s too expensive and now we have a sucky HDHP. When for my pregnancies/deliveries it was one single $20 copay to the OB at confirmation of pregnancy and I think a $50 copay to the hospital for an entire delivery including epidural. No other bills. DH’s vasectomy was $50. Etc. [/quote]

It really comes down to whether the selection of specialists in network is favorable or not. When you have challenging health problems in the family and want the highly-rated doctors in a major metropolitan area, that can be a problem.

I grew up with Kaiser in California. It was a long time ago, but the specialists at that time and place were really hit or miss, and as I moved on in adulthood I realized that two of my diagnoses were wrong and a lot of the treatments I had as a teen through Kaiser were totally barking up the wrong tree. I also waited months for a minor surgery with a specialist once. In fact I got so sick of waiting that I found a kaiser primary care doctor who said he would do it in the office. He was doing me a favor because the wait was really unpleasant, but he did it badly and I needed the specialist to revise it anyway.

Not good HMO experiences.[/quote]

Kaiser is socialized medicine in the US. It’s built for cost efficiency and minimal patient input/control and draws people who seek convenience over quality. If you want your primary care doc to handle numerous things they only studied for a matter of weeks because there are actual limits on how many they can send to a specialist…this is the plan for you. The people I know who have Kaiser sing it’s praises until they develop a medical issue that needs actual care. [/quote]

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