Which type of health plan would allow a health maintenance organization (HMO) member to seek care outside of the provider? Point of service network. Staff model HMO. Health saving account. Network model HMO.

Understanding Health Insurance: A Guide to Billing and Reimbursement
14th Edition
ISBN:9781337679480
Author:GREEN
Publisher:GREEN
Chapter3: Managed Health Care
Section: Chapter Questions
Problem 9R
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Which type of health plan would allow a health maintenance organization (HMO) member to
seek care outside of the provider?
● Point of service network.
OO
Staff model HMO.
Health saving account.
Network model HMO.
Transcribed Image Text:Which type of health plan would allow a health maintenance organization (HMO) member to seek care outside of the provider? ● Point of service network. OO Staff model HMO. Health saving account. Network model HMO.
When asked the difference between a health maintenance organization (HMO) and a preferred
provider organization (PPO) plan, what would be the correct response?
OO
A patient may choose any physician with an HMO plan.
A patient with a PPO plan will have no additional costs for services.
An HMO provides better access to outpatient services and drug benefits.
The two plans are essentially the same.
Transcribed Image Text:When asked the difference between a health maintenance organization (HMO) and a preferred provider organization (PPO) plan, what would be the correct response? OO A patient may choose any physician with an HMO plan. A patient with a PPO plan will have no additional costs for services. An HMO provides better access to outpatient services and drug benefits. The two plans are essentially the same.
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