Just got a letter from my PCP: This summer he’s dropping all insurance and is going pure-concierge, $1800+ a year.
I understand his frustrations - in fact my previous doctor at the same practice left health care entirely and became a freakin’ FOREST RANGER to get away from the rat race of not having enough time to spend with his patients.
But I’m left wondering what to do. I already see a really good Endo every 3 months. I’ve had a little catalogs of specialists (cardio, two eye doctors, orthopedist) that have me in their systems in the past couple years. I was only seeing the PCP once a year for a physical, and also his office was my first point of contact on non-diabetes things (for example pre-op physicals) which are rare but maybe will be becoming increasingly common.
And my PCP almost always deferred to specialists on everything anyway.
I really like the PCP, but $1800+ a year when he defers me to specialists for everything under the sun to begin with? But maybe if I was paying him $1800+ a year he would actually start coordinating like I thought he should? With T1 for 40 years, who knows what complications might be coming up?, a whole lot of cardio risk factors, and a number of other aches and pains, maybe it is the right thing to have a doctor on call for the big price tag.
I’m a T1 for 40 years and feel like I just was getting the hang of the medical system and who I should call for appointments and when. Heck I was just getting the hang of calling a doctor and asking for an appointment. Imagine what folks with less experience with the medical system feel when they get dropped by a doctor.
The alternative I guess is to start cold-calling other practices to see if they are taking new patients. Here coming out of winter covid season is NOT A GOOD TIME to try this because pretty much zero practices are taking new patients to begin with (I know, I tried to find one who could see my adult daughter over several months in the winter).
Is it reasonable for me to only see specialists without a PCP? Will the specialists be OK with that? Nominally the PCP was supposed to be coordinating all the specialists but I don’t feel the PCP practice was really doing that.
Thoughts? Is it a thing anymore, to ask my endo to essentially be my PCP? Things used to work that way for me almost half a century ago but I don’t know if that’s something that’s done in today’s super-specialized world.