OT Medical Insurance explained | Arthritis Information

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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 Moe of the Three Stooges, who discovered that a  patient could be made to forget the pain in his
foot if he was poked  hard enough in the eye.


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Q. I just joined an 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 in the plan. The doctors  basically fall into two categories--those who are
no longer accepting  new patients, and those who will see you but are no longer participating  in 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  and a diploma from a third world country.


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Q. Do all diagnostic  procedures require pre-certification?


A. No. Only  those you need.


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Q. Can I get coverage for  my preexisting conditions?


A. Certainly,  as long as they don't require any treatment.


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Q What happens if I want  to try alternative forms of medicine?


A. You'll  need to find alternative forms of payment.


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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.


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Q. What if I'm away from  home and I get sick?


A. You really  shouldn't do that.


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Q. I think I need to see a  specialist, but my doctor insists he can handle my problem. Can a general  practitioner really perform a heart transplant right in his/her  office?


A. Hard to  say, but considering that all your risking is the co-payment, there's  no harm in giving it a shot.


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Q. Will health care be  different in the next century?


A. No, but if  you call right now, you might get an appointment by  then.
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