Medical cost: rip off solution

[GC9180]

Most medical centres/DRs are ripping off $$ on medical examination.
How to avoid/escape most of the cost..I just paid $200
First know about medical examination, as to whats done..
At any medical centre the basic cost should be around $185 - $200 (based on in/out of edison area)
- $185 Dr. Gita Dalal, U.S. Healthworks. 16 Ethel Road, Edison, NJ 08817 - (732) 248-0088
- $200 Dr. David Rizzo, Union Family Medicine. 2300 Vauxhall Road, Union, NJ 07093 - (908) 688-4424 **WALK-IN 9-6pm***

Basic should include
1) blood work to test HIV & ppr(forgot name)
Note #1) this blood work does not check for MMR, Vericella, Tetanus
Note #2) No blood can check if one needs vaccination for Tetanus. Only MMR (measles - mums - rebella) and Vericella can be checked thru blood work, if a person needs it or not. Again i repeat the blood work done for medical test does not check for MMR or Vericella
Note #3) Vericella is nothing but chickenpox vaccine. Do not get confused
Note #4) Good medical centres (who do not rip off, like the two clinics i noted) just ask for proof (vaccination record) for the above three vaccines.
Note #5) Some say vericella not need bcoz of age like 35+, but immigration needs it
2) Skin test (PPD) for TB. Once given revisit after 48-72 hrs. If result is +ve, do X-ray which is additional $50
3) Paper work in sealed envelope.
Note #1) ask for a copy and check if everything is checked, signed etc..., also fax/scan to lawyer so that he can check to if everything is correct. If any errors get it corrected from the medical center.


I felt these centers are ripping off
# Dr. Magdy Shenouda, Wellness Center
1706 Corlies Avenue, Second Floor, Neptune, NJ 07753 (732) 775-4138
$340.00 basic
# Dr. Seymour Wexler 999 Raritan Road, Clark, NJ 07066 (732) 381-3740
$325.00 basic
# Dr. Joseph Arno, Williamsburg Commons 10 Auer Court, East Brunswick, NJ 08816 (732) 390-8888
390.00 includ vac (forced to take vaccine)
also 1080 stelton road, edison,nj

HOW TO AVOID VACCINATION COST?
It depends on your insurance plan
I got Horizon BCBS of NJ - HMO. according to plan i can get vaccination from primary care physician - no charges. The process is Dr does blood work to check if one is immune to MMR and vericella. eg. if blood work says the person is immune to MMR not Vericella, then the Dr gives vaccine for vericella and not MMR. The note from Dr would say MMR not need and vericella was given. Regd Tetanus, Dr gave me the shot as i did not have record to prove it was given earlier ...nor blood work can prove if one needs it or not.
Blood work takes 2-3 days.

Note: you need not have vaccination record at time of medical examination. I told the above two mentioned clinics that i will bring it (vacition record/report) later from Dr...they agreed. Remember till you show them they are not going to give you your report.

I felt $185-$200 reasonable around edison,NJ bcoz thats the lowest rate i got for basic(blood work,skin/TB test,report) without vaccination + they agreed if you have vaccination record that would be sufficient.

So if you have plan which covers vaccination + a clinic which takes your vaccination proof/record...then your cost is just $200 ONLY or max $250 (if need XRAY for TB)

Hope the above helps...

regards


NOTE: correct me if i got anything WRONG...thanks

[skynet2500]

The only catch could be on the MMR. MMR needs two vaccinations. The two vaccines nmeed to have a 1 month gap. So if you take one and to medical exam, they will force you take the 2'nd one right there. Ofcourse they don't care about the gap since they want to make money

[GC9180]

same rules apply to medical center. If you donot have MMR how can they give one shot and then give the medical report when another dose is pending next month.

Does that mean those who get MMR shot at medical center have one more pending ...but got their report in advance????

[skynet2500]

same rules apply to medical center. If you donot have MMR how can they give one shot and then give the medical report when another dose is pending next month.

Does that mean those who get MMR shot at medical center have one more pending ...but got their report in advance????

They can give a report saying that second one is scheudled on a particualr date. that's what they do for people taking MMR from them. They don't give 2 MMR shots at one time.

[factoryman]

go to forum. Click on my name in the user currently online. My profile will come up.

Then click on 'Find all posts by factoryman'., or something like that. The tile of the post is 'Final Word on Adult Vaccination'
Only one MMR is recommended by CDC and these recom. are current till Sep 2007.

Ok I found the link of yesterday. (http://immigrationvoice.org/forum/showpost.php?p=86250&postcount=133)

Center for Disease Control (CDC) USA – Oct 2006 to Sep 2007
Recommended adult immunization schedule
Vaccine – Age Group – Dose(s)
TDAP- (all ages) – 1 dose Td booster every 10 years
MMR – (19-49) – 1 OR 2 doses
MMR – (50-64) – 1 dose
Varicella - (19-49) – 1 OR 2 doses
Varicella – (50-64) – 1 dose

Straight from Horse's Mouth (http://www.idph.state.il.us/about/2007adult-schedule.pdf)(the CDC link is not working):


same rules apply to medical center. If you donot have MMR how can they give one shot and then give the medical report when another dose is pending next month.

Does that mean those who get MMR shot at medical center have one more pending ...but got their report in advance????

[visli_com]

same rules apply to medical center. If you donot have MMR how can they give one shot and then give the medical report when another dose is pending next month.

Does that mean those who get MMR shot at medical center have one more pending ...but got their report in advance????


Is it possible to give these medical certificate(MMR/Varicella) from India?

[GC9180]

lets take i got MMR for my primary just two days back...then how can the clinic give me another dose within 2 days?? they cant and they SHOULD NOT. Yes they can do one thing..ask the person to bring proof of next shot the following month.

Well i feel the blood report might say something of that sort...just guessing!!

[factoryman]

One or two.

I didn't research all this. My good old INS doctor just gave only one. Anybody need doctor's details, PM me. This is only a free service. Nice elderly American
physician. Fees USD 200



lets take i got MMR for my primary just two days back...then how can the clinic give me another dose within 2 days?? they cant and they SHOULD NOT. Yes they can do one thing..ask the person to bring proof of next shot the following month.

Well i feel the blood report might say something of that sort...just guessing!!

[kams]

I spoke to Cigna (I have Cigna access plus). As long as claims are for preventative care, Cigna will reimburse. Vaccinations, Tests and X-Ray will be covered. I intend to file a claim, let's see whether I get anything.

[mrsr]

guess u r talking abt varicella vaccine .. this need 30 day gap, we had MMR on one day itself

The only catch could be on the MMR. MMR needs two vaccinations. The two vaccines nmeed to have a 1 month gap. So if you take one and to medical exam, they will force you take the 2'nd one right there. Ofcourse they don't care about the gap since they want to make money

[SDdesi]

I just posted another alternative to saving on the vaccines:

http://immigrationvoice.org/forum/showpost.php?p=87048&postcount=20

Basically, if your county health dept has a program, they can give you vaccinations for dirt cheap prices. I paid only $10 per person for Td & MMR :)

[aamchimumbai]

How long did i take for you to get the vaccinations ? I mean were you done in a day.

Thanks


I just posted another alternative to saving on the vaccines:

http://immigrationvoice.org/forum/showpost.php?p=87048&postcount=20

Basically, if your county health dept has a program, they can give you vaccinations for dirt cheap prices. I paid only $10 per person for Td & MMR :)