Fundamentos de Accidente y SaludPregunta 664 de 716
A Point-of-Service (POS) plan:
a.Covers only emergency and urgent care services and provides no coverage at all for routine visits, whether they are in-network or out-of-network
b.Never uses a primary care physician
c.Blends HMO and PPO features, letting the member choose in-network (gatekeeper) or out-of-network care at the time of service
d.Is identical to traditional indemnity coverage
Explicación
A POS plan combines HMO gatekeeping for the lowest cost with the option to go out-of-network at higher cost, deciding at the point of service. It is not the same as indemnity coverage.
Practica las 716 preguntas gratis — sin registro.
Own the complete California Life & Health Insurance Producer Exam guide — PDF + EPUB, $19.99 →
Preguntas relacionadas de este tema
- A dread disease (critical illness) policy pays:
- Skilled nursing care, intermediate care, and custodial care are:
- Custodial care, the level most often needed long-term, primarily involves:
- A distinguishing feature of an HMO is that it:
- In a PPO, using an out-of-network provider generally results in:
- To contribute to a Health Savings Account (HSA), an individual must be covered by a:
Última revisión: · proceso editorial
Equipo de PrepPass · Verificado con California Life & Health Insurance License Exam · Cómo revisamos
Revisado por John Zihao Zhang — California-Licensed Life Insurance Agent (CA Dept. of Insurance License #4396095 — verificar)