What to Expect the First Year

What to Expect the First Year by Heidi Murkoff Page A

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Authors: Heidi Murkoff
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out your state’s health insurance exchange/marketplace (as mandated by the Affordable Care Act), where you’ll be able to find, compare, and purchase the coverage you’ll need. Ask what services the plan covers (routine checkups, immunizations, sick visits, speech, hearing, and vision tests, lab and x-ray services, prescription meds, speech and physical therapy), if there are any limits on the number of well-baby or sick-baby visits, and what out-of-pocket expenses you’ll have to pay (copayments or deductibles, for instance). To find out more about the Health Insurance Marketplace in your state, visit healthcare.gov or call 800-318-2596.
    Worried that you won’t be able to afford insurance? Under the Affordable Care Act, you may be eligible for subsidies or tax breaks. There are other options for you, too: Medicaid programs cover those with low incomes, and the Children’s Health Insurance Program (CHIP) provides low-cost health insurance for children in families who earn too much income to qualify for Medicaid, don’t have employer health insurance available, and can’t afford private health insurance. Find out more from insurekidsnow.gov or by calling 877-KIDS-NOW. There are also local community health centers that provide care at low or no cost, depending on your income. To find one, go to findahealthcenter.hrsa.gov .
Pediatrician or Family Practitioner?
    The first step on your search for Baby Doctor Right? Deciding what type of practitioner is right for you. Your choices:
    The pediatrician. Babies, children, and sometimes adolescents are their business—their only business. And, they’re trained well for it. In addition to 4 years of medical school, pediatricians have had 3 years of specialty trainingin pediatrics. If they are board certified (they should be), they have also passed a tough qualifying exam. The major advantage of selecting a pediatrician for your baby is obvious—since they see only children, and lots of them, they know their stuff when it comes to little ones (including when not to sweat the small stuff). They’re more familiar with childhood illnesses, and more experienced in treating them. And they’re more likely to have ready answers to the questions parents (like you) ask most—from “Why doesn’t she sleep?” to “Why does he cry so much?”—because they’ve heard them all, many times before.
    A good pediatrician will also be tuned in to the whole family picture—and will realize when a change at home (say, a dad’s deployment or a mom’s return to work) may be the root of a change in a child’s behavior, sleeping or eating habits, or even health.
    The only downside to choosing a pediatrician? If the entire family comes down with something (strep all around), you may need to call on more than one doctor.
    The family practitioner. Like the pediatrician, the family practitioner usually has had 3 years of specialty training following medical school. But an FP residency program is much broader, covering internal medicine, psychiatry, and obstetrics and gynecology, in addition to pediatrics. The advantage of choosing a family practitioner is that it can mean one-stop doctoring—you can use the same doctor for prenatal care, the delivery of your baby, and to care for the whole family. Already using a family practitioner? Adding your new baby to the patient roll means you won’t have to transition to a brand new doctor, doctor’s office, or doctor protocol—and that you’ll (hopefully) already have a comfortable doctor-patient rapport on day one with baby. One potential disadvantage: Because family physicians have had less training and experience in pediatrics than their pediatrician colleagues, they may be less practiced in fielding common new parent questions, and less proficient at spotting (or treating) uncommon problems. This might mean more referrals to other doctors. However, the

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