Frequently Asked Questions About Health Care
By David Lubar
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 I 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 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 out is the $10
co-payment, there's no harm 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.