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Salsk061
1 month ago
8

Mrs. Tanner is enrolled in a Medicare Advantage HMO that offers a point of service option. This allows Mrs. Tanner to do which o

f 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
Health
2 answers:
Ket [1.5K]1 month ago
8 0

Answer:

a. Mrs. Tanner is able to consult with non-plan doctors for particular services without needing prior permission.

Explanation:

harkovskaia [1.6K]1 month ago
3 0

Answer:

Mrs. Tanner is allowed in some situations to visit out-of-network doctors without needing prior authorization.

Explanation:

For HMOs with a point of service feature, members may be permitted to see doctors outside the plan under specific conditions without advance approval. Although most services are delivered by in-plan providers, this point of service benefit applies mainly in emergencies, urgent care when outside the service area, and out-of-area dialysis. An example includes obtaining screening mammograms.

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