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Frequently Asked Questions About the Online Second Opinion Program

  • How do I start the process of getting an online second opinion?

    Grand Rounds facilitates the online second opinion process. You can call Grand Rounds between 9:00 a.m.–9:00 p.m. EST at 800-941-9309 if you are located in the United States, or +1-775-440-2559 if you are located outside the United States; a member of the Grand Rounds care team will guide you through the process of starting a second opinion over the phone. Alternatively, you can start a second opinion online through our website at any time. To begin, please create an account.

    How much does an online second opinion cost?

    The cost for most second opinions is $2,000. This fee includes medical record collection, a written second opinion from a Dana-Farber Cancer Institute medical oncologist, and guidance throughout the process from your personal care team at Grand Rounds (comprising a staff physician, care coordinator and record specialist). In rare cases, the complexity of the case will also require an opinion from other doctors including radiologists and pathologists. In these cases, an additional fee may be charged and you will be contacted to approve the payment.

    Will my insurance cover it?

    Currently, most health plans do not cover online second opinions or consultations, so patients are responsible for the cost of the second opinion. Dana-Farber Cancer Institute cannot file a claim with your insurance carrier, nor can we provide a procedure (CPT) code for this service. If you have questions regarding this process, please call Grand Rounds at 800-941-9309 if you are located in the United States, or +1-775-440-2559 if you are located outside the United States.

    How long will it take?

    Typically, it takes 5 to 7 business days after your medical records have been received to get your written online second opinion. The overall timeline can vary, depending on how long it takes to get your medical records and assign a specialist who is best suited to review your case. We do our best to deliver your written second opinion as quickly as possible, but the process can in some cases take longer than expected.

    Do I need to send my medical records?

    The Grand Rounds care team will collect all of your medical records from the doctors you identify when creating an account with us. However, if you already have all of your medical records on hand, you can save time by sending them directly to the Grand Rounds care team. For international patients who have medical records in a language other than English, your documents must be translated into English and then submitted to Grand Rounds.

    What if my medical records are in a language other than English?

    Unfortunately, we are not able to process requests that are not in English. All documents pertaining to your online second opinion must be translated into English before being submitted to Grand Rounds.

    Who chooses the physician who will provide my second opinion?

    The Grand Rounds care coordinator will carefully review your second opinion request and will match you with the most appropriate Dana-Farber medical oncologist to handle your case. You may request a particular oncologist, and we will try to accommodate that request, but we cannot guarantee that specialist will be available and assigned to your case.

    What if I would rather visit Dana-Farber for an in-person appointment?

    You can request an in-person appointment by filling out this online form or calling 877-442-3324.

    Is this service available to anyone?

    For the most part, yes. However, we cannot offer online second opinions to a small number of patients living in certain excluded states and countries, due to regulatory constraints. If you live in one of these areas, you can still request an in-person second opinion by filling out this online form or calling 877-442-3324.

    Is my medical and payment information secure?

    Dana-Farber and Grand Rounds are strongly committed to protecting the privacy and security of all our patients. The Grand Rounds online portal meets all federal requirements for protecting personal health information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). In addition, Grand Rounds does not store any credit card information in their system. All financial transactions are securely processed by Grand Rounds using industry-standard payment processing tools.

    Can I schedule a follow-up appointment with the specialist who provided my online second opinion?

    In most cases, yes. After you and your local doctor receive the second opinion, a physician from Grand Rounds will contact you to answer any questions and discuss next steps. We encourage you to discuss your second opinion with your local provider. If you would like to schedule an in-person appointment at Dana-Farber Cancer Institute, please alert your Grand Rounds staff physician or care coordinator at that time. Please note: the cost of your online second opinion cannot be applied to the bill for an in-person visit. Any in-person appointment or pathology review may be covered by your insurance, or you may be financially responsible. It may be possible to schedule an appointment with the specialist who provided your online second opinion, and may require additional appointments with other Dana-Farber specialty providers.

    If I have an in-person appointment, can my medical records from the online second opinion be transferred to Dana-Farber scheduling staff?

    Yes, but additional materials, including pathology slides, medical records, and imaging, may need to be collected. The scheduling staff will discuss this process with you. You may need to help collect these materials.

    What is the affiliation between Grand Rounds and Dana-Farber?

    Dana-Farber partners with Grand Rounds to offer online second opinions from our specialists in virtually every medical oncology specialty and subspecialty. The Grand Rounds care team gathers and summarizes your medical records, images, and history. A medical oncology specialist at Dana-Farber – individually selected because of expertise related to your case – reviews your medical records, images, and history, and provides a written second opinion.

  • View a Sample Dana-Farber Online Second Opinion

    Your Dana-Farber oncologist thoroughly reviews your medical records, diagnosis, and treatment plan and provides clear medical guidance in a written second opinion that will be provided to you and your local provider. See this example of a Dana-Farber online second opinion.

    Pediatric Second Opinion

    When faced with complex medical questions or decisions regarding a new diagnosis or treatment plan for your child, having an expert second opinion from the world's leading pediatric specialists at Dana-Farber/Boston Children's can provide peace of mind that your child is getting the best care.