Health Risk Appraisal requirement for work

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MrsGFM
Regular Member


Date Joined Feb 2010
Total Posts : 115
   Posted 2/1/2011 12:19 PM (GMT -6)   
Hi Guys:

We need your advice. MrGFM's diagnosis and treatment were 3 years ago. A few weeks ago I posted that his PSA has risen to .05 and the Dr. is talking about radiation therapy. For some reason I can't update the profile to show the January 11 PSA.

A year after dx. and surgery, Mr. lost his job. He had worked in newspaper advertising for 30 years. The newspapers are dying, his newspaper closed. He switched to another newspaper, it closed, too. He went one year working as needed for a company in a completely different field and they hired him full time in August 2010. Very low pay, but it gave him good insurance benefits and he loves the job.

Now he has to fill out a health risk appraisal form through Blue Cross Blue Shield or pay an extra $25.00 per month for health insurance. It sounded like they just wanted to check his cholesterol and blood pressure, but I got online and read the questionnaire he must fill out. It asks everything about his personal habits and wants a complete health history. It asks in black or white have you had cancer. There wasn't any place to write notes or explanations. It is either yes or no.

I am nervous that human resources will take this information and he will not be invited back to work for them next year. He is on a year to year basis with them. I hate to say that I do not trust large companies and their screening processes, but it is true.

Have any of you faced this? Do you have any suggestions for us? Thanks!

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4848
   Posted 2/1/2011 1:13 PM (GMT -6)   
Well... you don't want to get caught not telling the truth.
 
But for company group health - they either signup all employess or no employees.... And they adjust the costs based on the risks..

rhb47
Regular Member


Date Joined Mar 2010
Total Posts : 208
   Posted 2/1/2011 1:21 PM (GMT -6)   
Mrs. G

It seems the easiest solution would be to just pay the extra $25.00-that way he wouldn't have to explain anything.

Renee
Husband diagnosed 3/10
Age 56, PSA 4.7, free 7.6%

Biopsy 5 of 10 cores positve-all right side-25% to 57%
Gleason 6
DaVinci surgery with Dr. Vip Patel scheduled 8/9/10

Post Op: Gleason 3+4=7
Negative surgical margins and lymph nodes
No seminal vesicle and angiolymphaic invasion
perineural invasion present
Both nerve bundles spared
No ED or incontinence
6 wk. PSA .01

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 2/1/2011 2:36 PM (GMT -6)   
My job has the same situation, but the extra cost if you don't do it is $50, not $25. For families, even more. Not much choice there.
 
It is done through the insurance company, and in theory it is to help you plan better. We are told that the company does not get details at a personal level. That would appear to be a serious violation of HIPPA regulations?

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3889
   Posted 2/1/2011 3:04 PM (GMT -6)   
Knowing how Corporate America works, I would pay the $25 as rhb47 suggested..
Age 68.
PSA at age 55: 3.5, DRE normal. Advice, "Keep an eye on it".
age 58: 4.5
" 61: 5.2
" 64: 7.5, DRE "Abnormal"
" 65: 8.5, " normal", biopsy, 12 core, negative...
" 66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
" 67 4.5 DRE "normal"
" 68 7.0 third biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT NOW

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 2/1/2011 3:17 PM (GMT -6)   
Cheap at twice the price for non-disclosures.
"The doc is talking about radiations"= I would be talking to the doctor about your seeking a second opinion elsewhere without his network referral pals included. (lol) You have not failed the BCR threshold and some patients, never do even with psa rises. Thus talk is cheap but can lead to expensive protocols. Not to mention SRT radiation is a gamble also, probably got to take it, but the odds are less than 50-50% apparently. Ask the same doc what odds he places on SRT radiations?
Dx-2002 total urinary blockage, bPsa 46.6 12/12 biopsies all loaded 75-95% vol.; Gleasons scores 7,8,9's (2-sets), gland size 35, ct and bone scans look clear- ADT3 5 months prior to radiations neutron/photon 2-machines, cont'd. ADT3, quit after 2 yrs. switched to DES 1-mg, off 1+ yr., controlled well, resumed, used intermittently, resumed useage

Herophilus
Veteran Member


Date Joined Sep 2009
Total Posts : 664
   Posted 2/1/2011 3:56 PM (GMT -6)   

I am required to complete a comprehensive assessment which includes blood work, if... I want to keep the "gold plan". It also has the big Cancer question. I simply answer yes.

Hero


JNF
Veteran Member


Date Joined Dec 2010
Total Posts : 3886
   Posted 2/2/2011 10:23 AM (GMT -6)   
If your employer uses this confidential information to terminate Mr's employment, you will probably have hit the lottery by winning the ensuing lawsuit for wrongful termination. You would likely win from both the insurance company for wrongly sharing the information and the employer for wrongly using the information. They can not penalize him for something that has already happened that was entirely outside his influence or control. Do you think they will terminate all the women who report they have had breast cancer? I see little risk in filling out the form.
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