FREQUENTLY ASKED QUESTIONS
ABOUT HEALTH CARE
Q. What does HMO stand for?
A. This is actually a variation
of the phrase, "Hey, Moe!" Its roots go back to a concept pioneered
by Doctor Moe Howard, who discovered that a patient could be made to forget
about the pain in his foot if he was poked hard enough in the eyes.
Modern practice replaces the physical finger poke with hi-tech equivalents
such as voice mail and referral slips, but the result remains the same.
Q. Do all diagnostic procedures require pre-certification?
A. No. Only those you need.
Q. I just joined a new HMO. How difficult will it be to choose the doctor
I want?
A. Just slightly more difficult than choosing your parents. Your
insurer will provide you with a book listing all the doctors who were participating
in the plan at the time the information was gathered. These doctors
basically fall into two categories -- those who are no longer accepting
new patients, and those who will see you but are no longer part of the
plan. But don't worry -- the remaining doctor who is still in the
plan and accepting new patients has an office just a half day's drive away.
Q. What are pre-existing conditions?
A. This is a phrase used by the grammatically challenged when they want
to talk about existing conditions. Unfortunately, we appear to be
pre-stuck with it.
Q. Well, can I get coverage for my pre-existing conditions?
A. Certainly, as long as they don't require any treatment.
Q. What happens if I want to try alternative forms of medicine?
A. You'll need to find alternative forms of payment.
Q. My pharmacy plan only covers generic drugs, but I need the name brand.
I tried the generic medication, but it gave me a stomach ache. What
should I do?
A. Poke yourself in the eye.
Q. I have an 80/20 plan with a $200 deductible and a $2,000 yearly cap.
My insurer reimbursed the doctor for my out-patient surgery, but I'd already
paid my bill. What should I do?
A. You have two choices. Your doctor can sign the reimbursement check
over to you, or you can ask him to invest the money for you in one of those
great offers that only doctors and dentists hear about, like windmill farms
or frog hatcheries.
Q. What should I do if I get
sick while traveling?
A. Try sitting in a different part of the bus.
Q. No, I mean what if I'm away from home and get sick?
A. You really shouldn't do that. You'll have a hard time seeing your
primary care physician. It's best to wait until you return, and then
get sick.
Q. I think I need to see a specialist, but my doctor insists that
he can handle my problem. Can a general practitioner really perform
a heart transplant right in his office?
A. Hard to say, but considering that all you're risking is the $10
co-payment, there's no harm in giving him a shot at it.
Q. What accounts for the largest portion of health care costs?
A. Doctors trying to recoup their investment losses.
Q. Will health care be any different in the next century?
A. No, but if you call right now, you might get an appointment by then.