Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

When your health insurer pays for breakfast, here’s what happens

Pamela Wible, MD
Physician
September 5, 2014
Share
Tweet
Share

DECAFfinalresize-640x480

Pancakesresize-640x480

Health insurance is complex. Eating out is easy — unless you were to involve your health insurance company.

If you hired a third party to pay your restaurant bill, you’d pay twice as much, wait 2 weeks for a table, and have 7 minutes to eat.

I shared my restaurant analogy on a LinkedIn discussion with health care executives, and got this response: “I’d like to ask the Doc if she pays cash for dining out or does she use a third party like MasterCard or Visa to pay the bill?”

I may use plastic, but a credit card is not an insurance plan that requires prior authorization for my burrito, checking a formulary to see if I can get a side of noodles, and — worst case scenario: A policy may have an exclusion for desserts in excess of 200 calories.

Don’t like the restaurant analogy? Here’s what happens when you use health insurance to cover your automobile.

Need an oil change? Jiffy Lube has a 10-day backlog until their administrative office can fax State Farm for approval. Flat tire? Soonest appointment at your in-network tire facility is next month. Out of fuel? You can’t stop at Shell or Exxon because Chevron is your preferred provider.

If this seems ludicrous, it is.

Insurance is for catastrophes, not daily care and maintenance. Car totaled? Call Geico. Fractured femur? Call Aetna. Or maybe Kaiser has the best deal. In the meantime, want to save 40% on routine care? Stop using health insurance for your hangnail.

Chevronresize-640x480

Pamela Wible pioneered the community-designed ideal medical clinic and blogs at Ideal Medical Care. She is the author of Pet Goats and Pap Smears. Watch her TEDx talk, How to Get Naked with Your Doctor. 

Prev

A physician is now biased towards over-testing. Here's why.

September 5, 2014 Kevin 7
…
Next

MKSAP: 42-year-old woman with crampy abdominal pain

September 6, 2014 Kevin 1
…

Tagged as: Primary Care

Post navigation

< Previous Post
A physician is now biased towards over-testing. Here's why.
Next Post >
MKSAP: 42-year-old woman with crampy abdominal pain

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Pamela Wible, MD

  • When health care professionals lose everything

    Pamela Wible, MD
  • Surgeon suicides: Unveiling a silent crisis

    Pamela Wible, MD
  • 13 tips for depressed doctors who need confidential mental health care

    Pamela Wible, MD

More in Physician

  • How the 10th Apple Effect is stealing your joy in medicine

    Neil Baum, MD
  • When a doctor becomes the narrator of a patient’s final chapter

    Ryan McCarthy, MD
  • Gaslighting and professional licensing: a call for reform

    Donald J. Murphy, MD
  • When service doesn’t mean another certification

    Maureen Gibbons, MD
  • Why so many physicians struggle to feel proud—even when they should

    Jessie Mahoney, MD
  • If I had to choose: Choosing the patient over the protocol

    Patrick Hudson, MD
  • Most Popular

  • Past Week

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
    • How the 10th Apple Effect is stealing your joy in medicine

      Neil Baum, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • How the 10th Apple Effect is stealing your joy in medicine

      Neil Baum, MD | Physician
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
    • How functional precision oncology is revolutionizing cancer treatment [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • When a doctor becomes the narrator of a patient’s final chapter

      Ryan McCarthy, MD | Physician
    • Why innovation in health care starts with bold thinking

      Miguel Villagra, MD | Tech

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 18 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
    • How the 10th Apple Effect is stealing your joy in medicine

      Neil Baum, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • How dismantling DEI endangers the future of medical care

      Shashank Madhu and Christian Tallo | Education
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • How the 10th Apple Effect is stealing your joy in medicine

      Neil Baum, MD | Physician
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
    • How functional precision oncology is revolutionizing cancer treatment [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • When a doctor becomes the narrator of a patient’s final chapter

      Ryan McCarthy, MD | Physician
    • Why innovation in health care starts with bold thinking

      Miguel Villagra, MD | Tech

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

When your health insurer pays for breakfast, here’s what happens
18 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...