Blue Sky HMO has an open panel plan. The plan is:A group of physicians, who contract with the HMO for services, but maintain a private practice.
Carl is considering the HMO option on his employer’s plan. Which of following benefits may not be provided by the HMO?Hospital carePrescription DrugsAll of the following are medical cost management techniques designed to minimize overall health costs EXCEPT:Preventative careRequiring a second opinion for surgeryDiffering the payment amounts for specified illnessesAn HMO is an IPA model HMO. The HMO members can expect any of the following EXCEPT:Annual physicals and other wellness benefitsChoice of any surgeonAn HMO allows it members to choose approved physicians who are in private practice. This is called:Staff Model HMOOpen panel HMOWhy do most insurance plans pay for benefits in an outpatient service facility?It is more convenient for the patientOut patient services do not require as much timeThe cost is usually much less for the same service as an inpatient admission.Henry works for GHI Corp and they have announced an annual re-enrollment for the HMO plan. Under most HMOs, Henry has how long to make his decision to join the HMO?60 days10 days45 days30 daysAn HMO (Health Maintenance Organization) is considered to be what type of organization:Regular licensed insurance companyA pre-paid service organization
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