Question

Which of the following could represent a member in a closed-panel HMO?

Option 1: Primary Care Physician
Option 2: Urgent Care Facility
Option 3: Any Specialist without referral
Option 4: Out-of-Network Hospital

Answer 1

Option 1: Primary Care Physician could represent a member in a closed-panel HMO.

Step-by-step explanation:

A closed-panel HMO is a type of health maintenance organization where members are required to choose a primary care physician from a specific panel of providers. Option 1, Primary Care Physician, could represent a member in a closed-panel HMO. Option 2, Urgent Care Facility, and Option 4, Out-of-Network Hospital, are not typically included in the panel of providers of a closed-panel HMO. Option 3, Any Specialist without referral, might be included in a closed-panel HMO, but it would require a referral from the primary care physician.