Question

Harry has medical insurance through an HMO. He would like to see a podiatrist about the foot pain he has been having. What is the first step he will have to take in order to see his podiatrist?
A.
schedule a visit to a specialist out-of-network
B.
get a referral from his primary care physician
C.
arrange a meeting with his HMO provider
D.
get a hospital to diagnose his condition

Answer 1

B!!! An HMO requires a referral from the primary care physician before they will cover a visit to a specialist. A podiatrist is considered a specialist.

Answer 2

The answer is B. get a referral from his primary care physician