Health Care Insurance

What If I Don’t Have This Operation? If you’ve asked your surgeon about the benefits and risks of the operation you might decide not to have it. Ask your surgeon what you will gain, or lose, by not having the operation right now. Could you be in more pain? Could your condition get worse? Could the problem go away?You might want to get a second opinion. Getting a second opinion from another doctor is a very good way to make sure that having the operation is the best choice for you. You can ask your primary care doctor for the name of another surgeon who could review your medical file. If you consult another doctor, make sure to get your records from the first doctor so that your tests do not have to be repeated.

Many health insurance plans ask patients to get a second opinion before they have certain operations that are not for an emergency. If your plan does not require a second opinion, you may still ask to have one. Check with your insurance company to see if they will pay for a second opinion. You should discuss your insurance questions with your health insurance company or your employee benefits office. If you are eligible for Medicare, they will pay for a second opinion.

Source: http://www.ahrq.gov

Are you facing surgery? You are not alone. Every year, more than 15 million Americans have surgery.

Most operations are not emergencies and are considered elective surgery. This means that you have time to learn about your operation to be sure it is the best treatment for you. You also have time to work with your surgeon to make the surgery as safe as possible. Be active in your health care to have quality care.

Your regular doctor is your primary care doctor. He or she may be the doctor who suggests that you have surgery and may refer you to a surgeon. You may also want to find another surgeon to get a second opinion, to confirm if surgery is the right treatment for you. You might want to ask friends or co-workers for the names of surgeons they have used.


Make sure you ask some questions of your primary care doctor and surgeon before you have surgery. There are good reasons for asking these questions as the answers will help you make the best decisions.

Your doctors should welcome questions. If you do not understand the answers, ask the doctor to explain them clearly. Bring a friend or relative along to help you talk with the doctor. Research shows that patients who are well informed about their treatment are more satisfied with their results.

Recently we published some information on improving the quality and safety of your family’s health care by asking questions. Today we expand on that theme and share with you some information about asking questions if you are considering surgery.

Your first question should be “Why Do I Need an Operation?”

There are many reasons to have surgery and some operations can relieve and prevent pain. Others can reduce a symptom of a problem or improve some body function. Some surgeries can also be done to find a problem. Your doctor will tell you the exact purpose of the planned procedure.

Keep asking questions until you understand how the proposed operation will help your medical issue. For example, if something is going to be repaired or removed, find out why it needs to be done.

Your next question should be “What Operation Are You Recommending?”

Ask your surgeon to explain the surgery and how it is done. Your surgeon can draw a picture or a diagram and explain the steps in the surgery.

Also ask if there is more than one way of doing the operation? One way may require more extensive surgery than another. Some operations that were once quite invasive can now be done using much smaller incisions (for example, laparoscopic surgery).

With some surgeries you are requird to stay in the hospital for 1 or more days. Others let you come in and go home on the same day. Ask why your surgeon wants to do the operation one way over another.

Next you should ask it there “Are Alternatives To Surgery?”

Sometimes, surgery is not the only answer to a medical problem. Medicines or treatments other than surgery, such as a change in diet or special exercises, might help you just as well-or more. Ask your surgeon or primary care doctor about the benefits and risks of these other choices. You need to know as much as possible about these benefits and risks to make the best decision.

One alternative to surgery may be watchful waiting. During a watchful wait, your doctor and you check to see if your problem gets better or worse over time. If it gets worse, you may need surgery right away. If it gets better, you may be able to wait to have surgery or not have it at all.

Source: http://www.ahrq.gov/consumer/surgery/surgery.htm