How to be a Good Healthcare Consumer

For the newly insured, there can be a learning curve about how to appropriately use healthcare services. Some of us who have had insurance for years could also use a refresher!

Once a person is insured, it is time to make an appointment with a healthcare provider. There are several options for care. Most insurers refer to a “Primary Care Provider” which is a healthcare provider who is chosen by or assigned to a patient and both provides primary care and acts as a gatekeeper to control access to other medical services.

The primary care provider can be a physician, either a DO or MD, but it may also be a Nurse Practitioner or a Physician Assistant.

There are actually two ways to achieve the title of doctor and practice medicine. One can become a medical doctor (MD) or a doctor of osteopathy (DO). Both licenses allow one to practice medicine and have equally rigorous testing.

Nurse Practitioners are registered nurses trained to be a primary healthcare provider. Their education is based on nursing model and philosophy. Master's degree with relevant experience + Certification + License to practice.

Physician Assistants are healthcare providers practicing medicine under the supervision of a physician. Their education is based on medical model. PA program + License to Practice.

Once you have an appointment with the Primary Care Provider you have chosen, it is time to focus on your appointment. First and foremost, this means turning your cell phone off. Paying attention to the visit with your primary care provider is important.

When you go to your appointment, make sure you have the following information:

·         Insurance card(s)

·         Driver’s license or other proof of identity

·         Any forms the office has sent you to fill out – and have them filled out

·         Health history for you and your family (any chronic diseases your parents, siblings, grandparents have or had)

·         A list of all medications you are taking – prescription and over-the-counter, including vitamins and supplements

·         A list of all allergies

It is important to be prepared to discuss your health with your primary care provider. You will have a limited amount of time for the appointment, and you want to leave with the information you need. Often it is helpful to bring a family member or friend along to be an extra set of ears.

Some tips for talking with your primary care provider:

·         Always remember that it is your body

·         Share your concerns and medical history quickly and accurately

·         Ask questions

·         Take paper and pencil to write down notes during the conversation

·         Make sure you understand any instructions that are given to you

·         If tests, procedures or new medications are suggested, ask some additional questions

o   Do I really NEED this test, procedure, medication?

o   What are the benefits and downsides?

o   Is there a simpler, safer option?

o   What happens if I do nothing?

o   How much will it cost?

Good healthcare is a cooperative effort between you and your healthcare provider. The best healthcare also involves family/friends/caregivers.