With which type of insurance plan does the patient receive more comprehensive benefits by using network providers that participate in the plan, and does not require the patient to select a primary care physician?

Disable ads (and more) with a premium pass for a one time $4.99 payment

Prepare for the MindTap Medical Administrative Assistant Test. Use flashcards and multiple choice questions with hints and explanations. Enhance your readiness for the exam!

The correct response indicates that a Preferred Provider Organization (PPO) offers patients more comprehensive benefits when they use network providers that are part of the plan. A key characteristic of PPOs is their flexibility, allowing patients to see any healthcare provider without requiring a referral or a primary care physician's oversight.

In a PPO plan, patients often pay lower out-of-pocket costs when accessing services from network providers, while still retaining the option to go outside the network for a higher fee. This structure encourages the use of in-network providers for better financial incentives while maintaining the freedom to choose care more freely compared to more restrictive plans.

This flexibility and comprehensive benefits when using network providers highlight the unique advantages of a PPO, setting it apart from other plans such as HMOs and EPOs, which typically require either a primary care physician or have a more limited network with different coverage rules.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy