Question

Mrs. Tanner is enrolled in a Medicare Advantage HMO that offers a point of service option. This allows Mrs. Tanner to do which of the following?
Answer is either:
can go to non-plan doctors for certain services without receiving prior approval
or can go to non-plan doctors without prior approval for all services

Answer 1

Answer:

a. Mrs. Tanner can go to non-plan doctors for certain services without receiving

prior approval.

Explanation:

Answer 2

Answer:

Mrs. Tanner can opt for non-plan doctors in certain services without advance referral.

Explanation:

In HMO, the point of services provides enrolls with the permission to go for non-plan doctors in exclusive cases without any prior referral. Though most of the cases are covered under the providers who fall under the plan, point of service option however, works in emergency, urgent care in out of area and dialysis in out of area. An example of this kind kind of case is- screening mammograms.