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Thread: Choice of hospitals in Philadelphia area

  1. #1
    Senior Member landrover's Avatar
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    Choice of hospitals in Philadelphia area

    Hi, I’ve often wondered if there is a policy regarding health insurance and hospital choice. I live in the suburbs of Philadelphia, and to put it kindly, they lack knowledge on SCI. I cringe every time I have to go to the ER. Within the city itself are some exceptional hospitals, including Thomas Jefferson Univ. Hospital, which along with Magee Rehab, is a Model SCI Center. I have often considered the thought of driving into the city to TJU, but wasn’t sure health insurance would cover it given the distance and I assume the higher cost. Any input?

  2. #2
    Usually, health insurance companies form medical groups based on doctor's affiliation with hospitals. When you sign up with an insurance company, you select a medical group and thus the hospital where the doctors in the group have medical practice privilege. I don't think you have to select the medical group that is closest to you. Next time you have open enrollment or possibly even before, you could select the medical group affiliated with the Thomas Jefferson Univ. Hospital. This means of course that you would have to change all of your current doctors and select new ones from the doctors in the new group and you would have to travel into Philadelphia to see all your doctors and for any hospital treatment.

    All the best,
    GJ

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    Landrover,
    I went to Thomas Jefferson and Magee Rehab. I know Magee took all kinds of Insurance plust Medicare. It was a really great place. If you have any questions on either the hospital or rehab , feel free to email me at joemonte@nep.net. I still go to Magee for a annual checkup with Dr. Formal. He is a great professional Doctor.

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    Moderator jody's Avatar
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    Quote Originally Posted by landrover View Post
    Hi, I’ve often wondered if there is a policy regarding health insurance and hospital choice. I live in the suburbs of Philadelphia, and to put it kindly, they lack knowledge on SCI. I cringe every time I have to go to the ER. Within the city itself are some exceptional hospitals, including Thomas Jefferson Univ. Hospital, which along with Magee Rehab, is a Model SCI Center. I have often considered the thought of driving into the city to TJU, but wasn't sure health insurance would cover it given the distance and I assume the higher cost. Any input?
    where do you live? I moved from the lansdale area, Montgomery county.
    a year and a half ago. im understanding what you are saying about sci care. Abington hospital is ok for sci care, and so is doylestown hospital.

    unless you live near Jefferson, they only send you for tests sci related, or certain specialists. the gait lab, or seat mapping, or if you need surgery that is sci related.
    For the most part Drs seem to work from a particular hospital near their practice, so usually you go to the hospital your Dr is affiliated with, unless you need to see a specialist or get a test that isnt available at the hospital your Dr uses.

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    Moderator jody's Avatar
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    also emergency rooms are for treating emergency situations, I carry a paper explaining Ad, because er docs dont know much about it, and usually if I go to the ER, My Gp knows I am going there, or has recomended I go to the ER. that makes things go smoother with admitting, and such. I did see a physiatrist at jefferson about once a year, but my Gp had to refer me. what trouble are you having with the ER? do you mind if I ask?

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    Senior Member landrover's Avatar
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    Quote Originally Posted by JoeMonte View Post
    Landrover,
    I went to Thomas Jefferson and Magee Rehab. I know Magee took all kinds of Insurance plust Medicare. It was a really great place. If you have any questions on either the hospital or rehab , feel free to email me at joemonte@nep.net. I still go to Magee for a annual checkup with Dr. Formal. He is a great professional Doctor.
    Thanks Joe, I also went to Jefferson and Magee (Dr. Fried is my doc at Magee)...and have nothing but great things to say for my experiences there. Is your primary doc familiar with SCI? Mine is not, so her answer is usually to send me to the ER...

  7. #7
    Senior Member landrover's Avatar
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    Quote Originally Posted by jody View Post
    also emergency rooms are for treating emergency situations, I carry a paper explaining Ad, because er docs dont know much about it, and usually if I go to the ER, My Gp knows I am going there, or has recomended I go to the ER. that makes things go smoother with admitting, and such. I did see a physiatrist at jefferson about once a year, but my Gp had to refer me. what trouble are you having with the ER? do you mind if I ask?
    Hi Jody, in my experiences with local hospitals, they and the staff appear to have very limited experience with SCI. The last thing one needs when they are ill is to educate others. As we know, SCI brings with it a whole list of potential complications, that if not treated, can have dire consequences. I dislike going to the ER in fear that I might be admitted, not for fear of being in the hospital itself, but rather how I might be treated.

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    Landrover,
    I could not find a good local doctor. I go to Kessler in New Jersey or back to Magee. Both are very good. A little far but worth it.

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    Moderator jody's Avatar
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    My doc here is sc, is a second year resident, and after being rejected about twenty times (you apply for a Dr here like you do for a job). she overheard my telling her receptionist that I had applied all over town for a physician, no one would accept me as a patientm, or tell me why they wouldnt have me as a patient. she requested my records and later accepted me as a patient. so glad, even if she doesnt know a ton about sci. she is likely to take another sci patient if one comes along.

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    Member mlkost's Avatar
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    I just had my 2nd bladder surgery @ TJU. For urology issues Dr. Patrick Shenot specializes with SCI and neurological care...He is great. As far as insurance I am covered by medicare. The only thing I don't like about TJU is it is not accessible for inpatient. 998 beds and only 2 rooms are accessible. My first surgery was a clinical study I participated in and was inpatient 21 days I was on the 7th floor of one bldg and had to go to 3rd floor of another bldg to the shower... Bowel program was absolutely horrible. I was on a waiting list for the accessible rooms and was transferred for my last 2 nights of stay. I just had surgery 3/30/11 was inpatient for one week was moved around to several rooms none of them accessible.

    I live in Schuylkill County and travel 2 hrs to Phila. to see Dr. Shenot. Like I said he is great. When I scheduled my first appt. it took six months to get in. He is worth the wait.

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