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Case Perspective #4 Mr. Sanchez, a 65-year-old Mexican-American man, is admitted for evaluation of bright red rectal bleeding. The son draws you aside and requests that, if something serious is found that his father not be told either the diagnosis or prognosis. The son explains that in the Mexican culture, it is proper to inform the family of a serious diagnosis and let them handle it as a group. The gastroenterologist, performs the colonoscopy and discovers that he has colon cancer. The patient has advised that he does not have insurance coverage and has advised that if the results will be something that requires additional out of pocket cost he doesn’t want it. However, Mr. Sanchez does have insurance coverage according to his son, but does not understand what his coverage is. His son provides a card for Mr. Sanchez You reviewed the card provided by his son and he has an HMO plan and has a deductible of $500 copay for inpatient admission, S70 copay for specialist or urgent care visit, tiered medication copay, Outpatient copay $300; Office Visit $35 copay. The Medical Assistant is concerned that Mr. Sanchez does not understand her explanation. She asks for help but all of the other staff is busy with other patients, so she just decides not to worry about because she doesn’t speak Spanish and doesn’t have time to stop right now and deal with it. How do you respond to the son’s request for what he’s asking regarding his dad’s diagnosis? Explain (in detail) how to help Mr. Sanchez and his family how to understand the insurance plan he has. You should also advise Mr. Sanchez what his copay will be for this visit as well in the explanation. Are there any other concerns that you have and suggestions you would make regarding this scenario with Mr. Sanchez?
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