Question

Which type of health insurance provider generally does not allow patients to obtain services outside its preferred network of doctors and specialists?
A.
traditional
B.
preferred provider organization (PPO)
C.
point of service plan (POS)
D.
health maintenance organization (HMO)

Answer 1

Answer would be C,B and D

Answer 2

Answer:

The answer is: D.  health maintenance organization (HMO).

Explanation:

B- Preferred Provider Organization (PPO). A type of health plan that hires medical providers, such as hospitals and doctors, to create a network of participating providers. You can use the services of doctors, hospitals and non-network providers at an additional cost.

C- Service Point Plan (POS). A service point plan (POS) is a type of health care management plan that combines HMO and PPO plans.

D- Health Maintenance Organization (HMO). Variant of a health insurance plan that generally limits coverage to the care provided by those doctors who work for or have contracts with them. They usually do not cover out-of-network care except in cases of emergency. At some point, out-of-network services are inevitable and subscribers must be prepared, or at least aware of the potential costs.

The answer is: D.  health maintenance organization (HMO).