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Read if necessary: Health Maintenance Organizations, or HMO's and Individual Practice Associations, or IPA's, are plans whose members are required to use only those health care providers who work for or in association with the HMO or IPA. Sometimes there is an option to permit use of providers not associated with the Plan, but usually at greater cost to the enrollee. Generally, members do not have to submit claims for costs of medical care services.
Read if necessary: Health Maintenance Organizations, or HMO's and Individual Practice Associations, or IPA's, are plans whose members are required to use only those health care providers who work for or in association with the HMO or IPA. Sometimes there is an option to permit use of providers not associated with the Plan, but usually at greater cost to the enrollee. Generally, members do not have to submit claims for costs of medical care services.
b. Was this (name) plan obtained through an employer or union?
c. Is it now carried through an employer or union?
6a. Does this (name) plan pay any part of hospital expenses?
b. Does this plan pay any part of doctor's or surgeon's bills for operations?
c. Does it pay for any DENTAL services other than oral surgery?
b. What is the name of the plan? (Record in Table H.I.)
c. Is anyone in the family now covered by any other health insurance plan which pays any part of a hospital, doctor's or surgeon's bill?
5a. Was this (name) plan obtained through an employer or union?
b. Is it now carried through an employer or union?
6a. Does this plan pay any part of hospital expenses?
b. Does this plan pay any part of doctor's or surgeon's bills for operations?
b. What is the name of the plan? (Record in Table H.I.)
If more than three plans, go to page 12.
c. Is anyone in the family now covered by any other health insurance plan which pays any part of a hospital, doctor's or surgeon's bill?
5a. Was this (name) plan obtained through an employer or union?
b. Is it now carried through an employer or union?
6a. Does this plan pay any part of hospital expenses?
b. Does this plan pay any part of doctor's or surgeon's bills for operations?
b. What is the name of the plan? (Record in Table H.I.)
c. Is anyone in the family now covered by any other health insurance plan which pays any part of a hospital, doctor's or surgeon's bill?
5a. Was this (name) plan obtained through an employer or union?
b. Is it now carried through an employer or union?
6a. Does this plan pay any part of hospital expenses?
b. Does this plan pay any part of doctor's or surgeon's bills for operations?
b. What is the name of the plan? (Record in Table H.I.) ________
c. Is anyone in the family covered by any other hospital insurance plan?
d. Is anyone in the family covered by any (other) health insurance plan which pays any part of a doctor's or surgeon's bill?
e. What is the name of the plan? (Record in Table H.I., reask 4d.)
5a. Was this (name) plan obtained through an employer or union?
b. Was it obtained through some other group?
c. Does this plan pay any part of hospital expenses?
d. Does this plan pay any part of doctor's or surgeon's bills for operations?