Getting a Second Opinion: 7 Common Questions
#RealLifeRx: Insight from Chief Medical Officer, Sharon Kiely
Sharon C. Kiely, MD, Senior Vice President, Medical Affairs & Chief Medical Officer
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Whether you’re facing the prospect of surgery or a treatment plan for a new or a chronic condition you may consider or be advised to get a “second opinion”. A second opinion can bring peace of mind and are routine requests in medical practice today. A second opinion can help to make you more informed, involved and engaged in your care and treatment.
So, what should you consider before getting a second opinion? I have sought second opinions for me and for my family and these are things I have learned along the way. These 7 questions can help to get you started so you do not delay your care and recovery.
1. How urgent is this procedure or treatment?
In an emergency or life threatening situation, there may not be enough time to get another opinion. If the treatment or procedure is not urgent, sometimes also described as "elective," a second opinion may be the best way to be confident that this course is the best for you.
2. How unusual or serious is my condition?
The answer to this question will most likely be very important in deciding whether or not to pursue a second opinion. There may be alternatives to consider before agreeing to have a major surgery. Call your Primary Care Physician (PCP) about where and how to get a second opinion, too.
3. How quickly should I get a second opinion?
The purpose of the second opinion is to confirm your diagnosis and the treatment options available to you. So you should get the second opinion right away to avoid delays in care.
4. Will I offend my doctors if I ask for a second opinion?
The simple answer is that considering and asking for a second opinion should not offend your doctor. Physicians understand that you have to be well informed before you make important decisions. Some physicians encourage it, and know that if the second opinion matches theirs you will return to their care. If you are not comfortable with your diagnosis, the treatment plan and certainly if your questions are not answered, then a second opinion is a good idea. If your physician is offended, it is a sign that a second opinion is a very good idea.
5. Should I get a second opinion from the same group or institution?
I do not recommend that approach because institutions and groups often approach problems similarly. You need another perspective which you will get elsewhere. Your PCP can help.
6. Will my insurance company pay for a second opinion?
In many cases, your insurance will pay for a second opinion and perhaps even a third opinion if the first two opinions differ. You have to work directly with your insurance company to understand your benefits and your plan. Call the number on the back of your insurance card or the Benefit Questions number on the website.
7. How do I prepare for a second opinion visit?
When you make your appointment, make sure that the doctor’s office knows that you want a second opinion. They will explain their process to get your records, X-rays and previous tests. Also remember to ask them where to park, how long it usually takes and any costs that need to be paid that day.
A Word from Dr. Kiely:
It’s important to remember that the healthcare landscape is always subject to change, and with change, more information emerges. Stay on top of this information and as you do so, let me know if I can help.
About Dr. Kiely
Sharon Cabrina Kiely, MD, has over 30 years of experience caring for patients. She is board certified in Internal Medicine and has spent her career as a leader in medicine in hospitals, the classroom and administrative positions. Read more...