Question

An enrollee of a Health Maintenance Organization (HMO) may be cancelled or nonrenewed for which of the following reasons?

1) Failure to pay for coverage
2) Marriage to a person with a pre-existing condition
3) Excessive use of health care benefits
4) Refusing HMO advice to quit smoking

Answer 1

An enrollee of a Health Maintenance Organization (HMO) may be canceled or nonrenewed for failure to pay for coverage, excessive use of health care benefits, or refusing HMO advice to quit smoking.

Step-by-step explanation:

An enrollee of a Health Maintenance Organization (HMO) may be canceled or nonrenewed for several reasons:

1. Failure to pay for coverage: If an enrollee fails to pay for their coverage, the HMO may cancel their membership.
2. Excessive use of health care benefits: If an enrollee consistently and excessively uses their health care benefits, causing financial strain on the HMO, they may face cancellation or nonrenewal.
3. Refusing HMO advice to quit smoking: If an enrollee refuses the HMO's advice to quit smoking, which may have negative impacts on their health and require additional health care services, the HMO may cancel or not renew their coverage.