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To: Lane3 who wrote (125910)	7/18/2005 11:25:25 AM
From: Ilaine	Respond to of 793801

I get full CBC, etc., every six weeks, anyway, due to meds I take, but for annual physical, fasting blood sugar, CBC, full lipid workup, thyroid, urinalysis, chest x-ray, mammogram, pap smear, pelvic, and 12-lead EKG. I am supposed to get a sigmoidoscopy or colonoscopy but haven't made the appointment. The burden is on me to actually go to the lab and have the blood drawn, etc. My husband never even calls for an appointment for annual physical. You can lead a horse to water . . . .

To: Lane3 who wrote (125910)	7/18/2005 12:21:09 PM
From: aladin	Respond to of 793801

Karen, The 'old' HMO's - Harvard and Kaiser did do Preventative Maintenance. Some of the new ones pay lip service to the concept. Word to the wise - avoid capitation systems. I did some actuarial analysis on one once - and as good as the theory is on paper - it sucks in practice. We actually found some doc's who used preventative checkups to discover 'issues' and promptly transferred sick patients (to avoid costs). I personally use UHC's PPO - 100% in plan, 80% out of plan with catastrophic maximums. Never had an issue, but its twice as much as the HMO and other offerings I get. John