DiscoBunny1979 wrote:I recently have been informed that one of my Doctors is changing their practice to be affiliated with MDVIP - which lowers their patient load to no more than 600 in order provide a Wellness Program and to satisfy the need to provide better individualized service.
It also depends on the type of insurance you have, and the copays, and how much your time is worth vs money. It also depends on whether you feel your doctor isn't giving you enough time at present. If so, it may help to have a frank conversation with your doctor about how much time is available to spend with you per visit, and how you can work around those limitations. For particularly complicated issues, tell the doctor you would like to split a consultation across multiple visits on two separate days -- so they can get paid for their time, and you can get the time you need without the doctor being rushed.
For example, if you have 5 items to discuss, that you can't cover in one 15 minute visit, you can schedule 2 appointments with the doctor 2 days apart. Go over the first 3 items in the first visit, and the last 2 items in the second visit. Yes, you (or your insurance) will pay $180 times 2 plus the cost of your time to go for a second visit to the doctor. But if there really are 5 issues to discuss and you only get through 3, and end up in the emergency room, or having to see a specialist or have a procedure, because the last 2 issues weren't addressed in a timely fashion -- that ends up being more costly for you (or the insurance company) anyway. So you/insurance are better off paying the extra $180 for the extra visit. And obviously don't do this frivolously -- you won't anyway, because you value your time and money going to the second visit.
But realistically, it won't be more than once a year that you feel the need to do this. For the other common visits, e.g. earache, stomach upset, sprained ankle, etc., a 15 minute appointment is quite sufficient.
On the other hand, if your time is really valuable compared to the $1800 per year -- you don't want to waste time on multiple visits, or waiting in the waiting room -- then go for the MD-VIP service.
So the decision tree isn't "money vs. quality of care" at least in the PPO world. It is pick two of "time, money, quality of care".
But also, make sure you remember that "quality of care" isn't the same thing as "quantity of care". Make sure that you don't get unnecessary "quantity of care" because you are a "VIP patient" who wants the "best treatment".