2nd opinions outside of your hospital network

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FindTheBestHelp
Posts: 68
Joined: Mon Jul 14, 2014 12:13 am

2nd opinions outside of your hospital network

Postby FindTheBestHelp » Mon Jul 16, 2018 3:54 pm

As a member of kaiser who wanted a second opinion from an oncologist at Sutter, I was told that the Sutter oncologist can't see someone from Kaiser, even if it's paid for out of pocket. I'm not understanding why this is... Do you?

Lee
Posts: 5619
Joined: Sun Apr 16, 2006 4:09 pm

Re: 2nd opinions outside of your hospital network

Postby Lee » Mon Jul 16, 2018 4:42 pm

From what I understand, Kaiser will not pay for a 2nd opinion at Sutter unless they give you a referral for one. And I don't think they will. Butt if you are paying out of pocket, you should be able to see an Onc at Sutter. I would call up Sutter and see what they say.

Good luck, let us know what you find out,

Lee
rectal cancer - April 2004
46 yrs old at diagnoses
stage III C - 6/13 lymph positive
radiation - 6 weeks
surgery - August 2004/hernia repair 2014
permanent colostomy
chemo - FOLFOX
NED - 10 years and counting!

zephyr
Posts: 108
Joined: Thu Aug 18, 2016 7:31 am

Re: 2nd opinions outside of your hospital network

Postby zephyr » Mon Jul 16, 2018 8:27 pm

Disclaimer: I don't know what I'm talking about.

I would think if you told them you wanted the cash pay price, you should be able to get it done easily on your own dime. You have to pay it in full, upfront. That's what a friend does when he doesn't want to run stuff (like a colonoscopy) through his insurance ... because when he mentions insurance, the amount he ends up paying towards the deductible is much higher than the cash price without insurance. It might work for a second opinion.

Reread Disclaimer at the top :lol:
Oct-2009 Stage I CC
Jun-2016 Stage 3 (T3 N1c)
Jun-2016 Surgery
Jul-2016 PET: Probable Stage 4 with inoperable lung mets
Aug-2016 Folfox
Jan-2017 Dropped oxaliplatin, continuing with 5FU, added Avastin
Aug-2017 Dropped Avastin, continuing with 5FU
Dec-2017 Chemo stopped working, lung mets growing but CEA stable, considering other treatment options
Jan-2018 Begin Folfiri & Cyramza (ramucirumab); also receiving Vitamin C & Quercetin by IV every week
Jun-2018 Taking a chemo break; preparing for surgery

FindTheBestHelp
Posts: 68
Joined: Mon Jul 14, 2014 12:13 am

Re: 2nd opinions outside of your hospital network

Postby FindTheBestHelp » Fri Jul 20, 2018 1:37 am

unfortunately I was told that even if I'm paying cash they (Sutter) can't see me because I'm with Kaiser has anybody ever heard of such a thing?

Do you think it's some kind of a liability concern on their part?


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