HMO---FAQ

Kruz

New Member
What SHOULD be on Kaiser Permanentes FAQ page
(I don't know weather to laugh or cry)
is it just me that has this plan?:hmm:

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 Larry, 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. 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 office?
A. Hard to say, but considering that all you're risking is the $20 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
 

chcr

Too cute for words
Camille West said:
Toe To Toe With The HMO

I have this problem with my toe
And so I call my HMO
With a referral from
My primary care physician
They say my call matters to them
They’re like an old and trusted friend
Except friends don’t make you ask
Them for permission
The recording on the phone
Says Leave a message at the tone
Tell us your name, your age,
Your reason for submission
So I describe my nail ingrown,
Wax poetic on the phone
This is a metaphor
For the whole human condition
Tender
Sensitive
Painful

And now I’m listening to Brahms
(muzak to keep the caller calm),
Trying to see things from
The stockholder’s perspective

Should I stop thinking of myself
While they are managing my health?
While an accountant finds a treatment
That’s cost-effective

Hallelujah, I rejoice!
Is this a living human voice
talking to me
Like I’m a sweet, annoying female
I plead my best bureaucratese
I would be down upon my knees
‘Cept I’d be leaning
on this poor, throbbing toenail
Painful
Purple
Festering

(You know this is an angst ridden song when it contains the word "festering."
Sorry if you're eating.)

As for my coverage, they say no
This is a pre-existing toe
My policy excludes
All things pre-existing
So if I want the claim approved
The toe will have to be removed
Which they believe may keep
The problem from persisting
This makes my doctor quite irate
Why should he have to amputate?
In his opinion this condition could
Be better handled
And as for me—Well I don’t know
I’d kinda like to keep the toe
I spent a fortune on these
Gorgeous Gucci sandals
Sexy
Size 6
Retail

I have been waiting patiently
Why aren’t you listening to me?
Can't you see that it's
Trying my endurance
I’m only asking to be heard
Hostage is such an ugly word
I would much prefer
Living Health Insurance
I want the orthopedic shoe
I want the Prozac® approved, too
This managed care is managing
To make me hostile
You've put me off far too long
I'll fix your ass; I'll write a song
About a nine-toed woman
Who goes postal
Crazy
Uzi
Bell tower

I have a PPO. Two, actually.
 

Gonz

molṑn labé
Staff member
HMOs are the primary reason for our current "crisis". Everybody wanted $5.00 co-pays & $3.00 prescriptions.

PPO, far better option.
 
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