Online Second Opinions

Expert opinions delivered quickly

An expert online second opinion from the #1 children's hospital can offer you reassurance that you are getting the best care for your child — from the comfort of your home. Everything is done online and securely, saving you the time and expense of traveling to Boston.

• 20% of all second opinions we provide result in a change in diagnosis.*
• 68％导致推荐治疗发生一些变化。
• 33% of treatment recommendations are major changes.

* — reflects data for all completed opinions from the time period of January 1, 2016, through December 31, 2019

How does it work?

We've partnered with Grand Rounds, a leading healthcare organization in connecting patients to experts, no matter where you are. When you request an online second opinion:

1. You will be assigned a personal care coordinator and staff physician from Grand Rounds.
2. 他们将指导您完成病历收集过程，并帮助您起草询问波士顿儿童专家所需的问题。
3. A Boston Children’s Hospital pediatric specialist will review your child’s records and answer your questions.
4. You will receive a detailed report seven to 10 business days after all medical records are received.

如果以下方式，请不要发起在线第二意见。

• the patient has surgery scheduled or treatment starting in less than four weeks
• the patient/family is also pursuing an appointment at Boston Children's Hospital (virtually or in-person)
• the patient is currently hospitalized or in the ICU
• the patient is diagnosed with PANDAS/PANS

If the Boston Children’s expert assigned to your request determines that the case is not appropriate for an online evaluation, he/she will let your Grand Rounds care coordinator know and they will work with you on next steps.

How much does it cost?

An online second opinion from Boston Children’s costs:

• 1,150美元用于癌症和血液疾病状况（有关更多详细信息，请参阅FAQ section)
• $850 for all other conditions

Currently, most health plans do not cover online second opinions or consultations, but you may elect to use your Health Care Saving Account (HSA) or Flexible Spending Account (FSA).

If the Boston Children’s physician reviewing the case suggests another review of pathology results, your personal care coordinator will contact you regarding next steps. Please note that an additional fee may be charged.

How long will it take?

The turnaround time for this service is7 to 10 business daysfrom the time Grand Rounds receives medical records. This program is not designed to handle medical emergencies, or provide treatment guidance if decisions need to be made within the next four weeks.

• If you live and have received care in the U.S., the Grand Rounds team will work with the physician practices and hospitals that you designate to collect all of your relevant medical records and information.This process can take up to four weeks.
• International patients are required to collect and upload their medical records. Grand Rounds will be available to guide you through this process. Please ensure you have a recent clinic note or comprehensive summary in English within the last year before starting your online second opinion process.
• If your case is recommended for conference review where multiple providers are commenting on your case,周转时间可能达克e between three and six weeks to complete.

如果您希望随时停止在线第二意见流程，请联系您的个人护理协调员。但是，一旦您授权我们继续（完成在线步骤后），我们已经收到了付款，并且我们已经开始处理您的要求，我们将无法退款。

如果这是医疗紧急情况，请立即致电您当地的紧急服务号码（美国911）以及时医疗护理，或者去您最近的医院，急诊室或紧急护理中心。