Jefferson College of Health Sciences
Roanoke, Virginia
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           MANAGED CARE TEST

Match question in Column A with correct answer in Column B.
1. What are pre-existing conditions? A. Since all you are risking is the $10 co-pay, there's no harm in giving him a shot.
2. Can I get coverage for my pre-existing conditions? B. Poke yourself in the eye.
3. What does HMO stand for? C. No, only those you need.
4. Do all diagnostic procedures require pre-certification? D. You'll need to find an alternative form of payment.
5. What should I do if I get sick while traveling? E. Certainly, as long as they don't require any treatment.
6. What happens if I want to try alternative forms of medicines? F. This is a phrase used by the grammatically challenged when they want to talk about existing conditions.
7. 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? G. Slightly more difficult than choosing your parents. Your employer will provide you with a book listing of all the doctors who are participating in the plant tat the time the information was gathered. These doctors basically fall into two categories--those who are not longer accepting new patients and those who will see you but are no longer part of the plan. Don't worry because the remaining doctor who is still in the plan and accepting new patients has an office just a half day's drive away.
8. What if I am away from home and get sick? H. You really should not do that. it will be difficult to see your primary physician. It is best to wait until you return, and then get sick.
9. My pharmacy plan only covers generic drugs, but I need a name brand. I tried the generic but it gives me a stomachache. What should I do? I. This is actually a variation of the phrase "Hey Mo!" Its roots go back to the concept pioneered by Dr. Moe Howard, who discovered that a patient could be made to forget about the pain in his foot if he was poked in the eyes. Modern practice replaces the finger poke with high technology equivalents such as voice mail and referral slips, tut the result remains the same.
10. I just joined a new HMO. How difficult will it be to choose the doctor I want? J. Try sitting in a different part of the bus.
Thanks to Joseph W. Hussar III of Jerry Kirk and Associates.

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E-mail Denise Dillingham, Clinical Coordinator, Barb Williams, Clinical Resource Associate, or Wilton Kennedy, Program Director, with questions or comments about our program.
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Copyright © 2007 Physician Assistant Program, Jefferson College of Health Sciences.
Last modified: 03/31/07