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Health Insurance Organizations Overview

Created by

@StreamlinedMeter4614

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Questions and Answers

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?

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?

PPO (correct)

POS

EPO

HMO

Which of the following types of plans combines features of both HMO and PPO?

<p>POS</p> Signup and view all the answers

Which type of healthcare organization primarily focuses on preventative care through network physicians?

<p>HMO</p> Signup and view all the answers

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.