From Missouri Digital News: https://mdn.org
Two Missourian's Tell Their HMO Stories
October 4, 1996
By: David Freitas
State Capital Bureau
Behind the issue of managed care are the people who it affects.
With HMO's becoming increasingly popular, the curiosity about whether people are satisfied with their health care is growing.
Each account that we hear from people about their HMO's is unique.
David Freitas talked with two Missourian's who have had very different experiences with their HMO's.
Jeanette Jefferson is a registered nurse who was so sick three years ago her doctor told her she would never walk again.
Then Jeanette did the unexpected.
After being a life-long member of an HMO and a health care professional, Jeanette thought she was taken care of when she retired.
But when her HMO told her she could not have any more physical therapy after her stroke, she says she got scared.
The irony is that Jeanette worked for an HMO her entire career as a nurse.
And now Jeanette says she cannot depend on her HMO anymore and has to look elsewhere for support.
Like most of us, Jeanette says she got her insurance through her employer and wasn't aware of the plans restrictions.
HMO critics say Jeanette's situation is not unique and that many people do not know exactly what is and is not covered even if they have a copy of the contract.
Even though Jeanette had such a bad experience with her HMO, she still says managed care is not all bad.