ECONOMICS
INSURANCE
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Usually must first meet with your primary health care physician
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Can go to any doctor at any time
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Will be responsible for $100 of a doctor bill
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Can apply for an 80% reimbursement of the amount paid to the doctor
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Detailed explanation-1: -With an HMO plan, you must always see your PCP first, who will then refer you to an in-network specialist. With a PPO plan, you can see a specialist without a referral. With an HMO plan, you must stay within your network of providers to receive coverage.
Detailed explanation-2: -HMOs require that patients choose their primary care physicians, and can only use specialists and services that are referred by the primary care physician based on approval of the HMO. With HMOs, premiums are generally lower than other plans. Patients pay a standard co-pay for office visits and services.
Detailed explanation-3: -Managed-care plans are health insurance policies using which policyholders can avail healthcare facilities at reduced costs. These plans offer comprehensive coverage, including preventive care and routine check-ups for a fixed premium.
Detailed explanation-4: -Terms in this set (5) Primary Care Providers are the gatekeepers or the first point of contact for a managed care patient.