Question

Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to access providers. What should you tell him?

Answer 1

Answer: In most Medicare Advantage HMOs, Mr. Kumar must obtain his services only from providers who have a contractual relationship with the plan (except in an emergency)

Explanation:

In a situation whereby Mr Kumar is considering a Medicare Advantage HMO and has questions about his ability to access providers, the thing to tell him is that in most Medicare Advantage HMOs, he must obtain his services only from providers who have a contractual relationship with the plan except in an emergency.