Mrs. Kirkland is enrolled in a Medicare Advantage HMO that offers a point of service (POS) option. This allows Mrs. Kirkland to do which of the following?
Answer (2)
ANSWER:
C) Mrs. Kirkland can go to non-plan doctors for certain services without receiving prior approval.
THE COMPLETE QUESTION:
Mrs. Kirkland is enrolled in a Medicare Advantage HMO that offers a point of service (POS) option. This allows Mrs. Kirkland to do which of the following?
A. Mrs. Kirkland can go to non-plan doctors without receiving prior approval for all services.
B. Mrs. Kirkland can go to non-network doctors without worrying about a cap on the amount of out-of-network services she may receive.
C. Mrs. Kirkland can go to non-plan doctors for certain services without receiving prior approval.
D. Mrs. Kirkland can go to non-plan doctors, knowing that cost sharing will generally be the same as with network providers.
EXPLANATION:
"Mrs. Kirkland can go to non-plan doctors for certain services without receiving prior approval." She may keep coverage and cost-sharing consistency while having some freedom in choosing her healthcare providers by using this approach. Mrs. Kirkland may bypass network limits and receive specialist treatment or a second opinion by selecting this option.
She also finds peace in knowing that she can get the treatment she needs without extra obstacles. This component allows Mrs. Kirkland more control over her medical care, improving her overall experience. It also guarantees inexpensive, high-quality care for her.
Mrs. Kirkland can go to non-plan doctors for certain services without receiving prior approval due to her Medicare Advantage HMO's POS option. This flexibility allows her to obtain necessary medical care more readily. However, she may incur higher costs compared to using in-network providers.
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