Podcast
Questions and Answers
Which type of organization requires members to pay in advance for healthcare services from a network of providers?
Which type of organization requires members to pay in advance for healthcare services from a network of providers?
- HMO (correct)
- FFS
- EPO
- PPO
What is a key feature that distinguishes HMOs from other health plan types?
What is a key feature that distinguishes HMOs from other health plan types?
- Lower premiums than all types
- Members must use out-of-network providers
- Fee-for-service payments
- Prepayment for healthcare services (correct)
Which health plan typically allows members to choose from a wider network of providers than HMOs?
Which health plan typically allows members to choose from a wider network of providers than HMOs?
- PPO (correct)
- POS
- EPO
- HMO
Which of the following types of plans combines features of both HMO and PPO?
Which of the following types of plans combines features of both HMO and PPO?
Which type of healthcare organization primarily focuses on preventative care through network physicians?
Which type of healthcare organization primarily focuses on preventative care through network physicians?
Flashcards
Prepaid Group Health Plan
Prepaid Group Health Plan
A type of health plan where members pay in advance for participating doctors and hospitals.
HMO
HMO
A type of prepaid group health plan.
Participating Physicians
Participating Physicians
Doctors who have agreements with the health plan.
Participating Hospitals
Participating Hospitals
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Key to HMO
Key to HMO
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Study Notes
Health Insurance Organizations
- HMOs (Health Maintenance Organizations) are prepaid group health plans.
- HMO members pay in advance for services from participating physicians and hospitals.
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Description
This quiz covers key concepts surrounding Health Maintenance Organizations (HMOs), including their structure and payment models. Learn about how HMOs function and the implications for members who prepay for health services. Test your understanding of these vital health insurance organizations.
