 [ Symptoms ] is it possible to be schizophrenic and not hear voices frequently or at all [ Disease ] i think you have a right to express your preference when it comes to medical management but you cannot force an insurance company to automatically accept those preferences i do not know your particular case but you can get second opinions outside of your hmo if you are not comfortable what your health plan is proposing it seems that that people who pay the bills are the one is that tend to call the shots but you do have rights to question those decisions