Question

The type of Medicare Advantage plan described, where members can see any doctor accepting Medicare patients but face higher costs for care outside the network, is a Preferred Provider Organization (PPO) plan. Thus, the correct option is:

a. Health Maintenance Organization (HMO) plan
b. Preferred Provider Organization (PPO) plan
c. Exclusive Provider Organization (EPO) plan
d. Medicare Supplement Insurance (Medigap) plan

Answer 1

A Medicare Advantage plan that lets members see any doctor who accepts Medicare but has higher out-of-network costs is called a Preferred Provider Organization (PPO) plan.

Step-by-step explanation:

The Medicare Advantage plan that allows members to see any doctor accepting Medicare patients, but potentially at higher costs when using out-of-network providers, is known as a Preferred Provider Organization (PPO) plan. Unlike Health Maintenance Organization (HMO) plans that typically require members to use healthcare providers within a predefined network to receive coverage, PPOs offer the flexibility to see providers outside the network. This flexibility does come with the trade-off of higher costs in comparison to receiving care from in-network providers.

The correct option is Preferred Provider Organization (PPO) plan. In a PPO plan, members have the freedom to see any doctor accepting Medicare patients, but they will face higher costs for care outside the network. This means that if a member chooses to see a doctor who is not part of the PPO network, they may have to pay more out of pocket for their healthcare expenses.