The health insurance mode that offers the least flexibility for patients is: Which of the following is not a disadvantage of managed care? Health insurance typically covers service... The health insurance mode that offers the least flexibility for patients is: Which of the following is not a disadvantage of managed care? Health insurance typically covers services considered medically necessary. True or False?
Understand the Problem
The questions are assessing knowledge about health insurance models, focusing on their flexibility and the disadvantages of managed care. They aim to test understanding of different healthcare organizations and their characteristics.
Answer
1. Exclusive provider organizations. 2. Authorized services usually are covered. 3. True.
- Exclusive provider organizations (d) offer the least flexibility for patients.
- Authorized services usually are covered (a) is not a disadvantage of managed care.
- True (a) - Health insurance typically covers services considered medically necessary.
Answer for screen readers
- Exclusive provider organizations (d) offer the least flexibility for patients.
- Authorized services usually are covered (a) is not a disadvantage of managed care.
- True (a) - Health insurance typically covers services considered medically necessary.
More Information
Exclusive provider organizations (EPOs) require members to use a network of doctors, specialists, and hospitals, except in emergencies. Managed care plans, like HMOs and PPOs, limit provider choices to manage costs, and the required authorization of services ensures coverage.
Tips
A common mistake is not understanding the differences in flexibility between HMOs, EPOs, and PPOs. Be sure to check which services need prior authorization in managed care plans.
Sources
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