solves problems with violence
Posted On:12/30/2006 1:27pm
Style: Judo, Hung Family Boxing
ok, so i'm getting married and will be able to have insurance under my wife's plan, soon.
so i have been poking around a bit on the health plan website, and found out my first bit of bad news: i'm not allowed to choose a sports medicine specialist as my primary care provider.
that means that i will have to be referred for just about everything.
i want to find a doctor who is either a martial artist themself or has clients who engage in full contact.
i have met one of the possible sports medicine guys before, he saw my fiancee when her ankle was broken... i saw that he has clients in the NFL so i would guess he's qualified to work on my knee and shoulder, but i think it might be good to find a primary care physician who also has a background in martial arts of some sort, so they don't give me a problem with the referral.
so is there any listing of such doctors? anyone just happen to know a good one in the new york metro area? should i try to get a doctor who has worked ringside at full contact fights? am i just going to have to call every single potential doctor and ask them?
"Face punches are an essential character building part of a martial art. You don't truly love your children unless you allow them to get punched in the face." - chi-conspiricy
"When I was a little boy, I had a sailor suit, but it didn't mean I was in the Navy." - Mtripp on the subject of a 5 year old karate black belt
"Without actual qualifications to be a Zen teacher, your instructor is just another roundeye raping Asian culture for a buck." - Errant108
"Seriously, who gives a **** what you or Errant think? You're Asian males, everyone just ignores you, unless you're in a krotty movie." - new2bjj
Posted On:12/30/2006 7:51pm
can't help you with a referral, but wondering... are you sure your wife's insurance company will cover you if you are up front about getting injured in full contact? When ever I get a training related injury... I lie. The first time I was honest with a doctor about it, they submitted to the insurance company that it was a "karate accident" . (I hate that all MA are called that). Got a call from the insurance company over it. Haven't made that mistake since.
Broken finger during stick fighting? Hey doc, slammed my finger in the car door.... ;)
Posted On:12/30/2006 9:52pm
good point. i need to read the fine print and see what the deal is.
so they called you up and said that martial arts related injuries are not covered and you got charged for the full amount of the bill?
anyone else have experience with this?
Posted On:12/31/2006 9:59am
Yup. got a call and an "accident report form" from them. I think they were looking to find the fault on someone else and file a claim against them. Asking who was involved, where it happened, etc. Kinda like what you would expect from a car accident. Weird. when they called, I had to lie my ass off and tell them that the accident that happened was my own fault and did not involve any fighting. ( I had cracked my sternum during a pretty intense sparring/grappling round). My excuse was that I fell while practicing ariel kicks. LOL. Anyway, I didn't ask what their policy was concerning coverage for something like full contact or MA related injury. Their actions up to that point didn't lead me to believe that it would be wise to pursue with them.
Hope you can get coverage. I would consider giving them a call from the stance of being a prospective customer and asking them what their policy is. Good luck.
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