Question

Which of the following statements is correct about HMO MA Plans?

a Most benefits are covered out-of-network but at a higher cost.
b There are no exceptions to the provider neuork requirement for obtaining certain services from out-of-network providers.
c Members that use out-of-network providers for routine office visits must pay a penalty in addition to any copayment.
d Members must receive covered services from contracted network providers.

Answer 1

The correct statement about HMO MA Plans is that members must receive covered services from contracted network providers.

Step-by-step explanation:

The correct statement about HMO MA Plans is option d) Members must receive covered services from contracted network providers.

HMO MA Plans, also known as Health Maintenance Organization Medicare Advantage Plans, require members to receive covered services from network providers. These plans typically have a network of hospitals, doctors, and other healthcare providers that have agreed to provide services to plan members at a negotiated rate. In some cases, members may need a referral from their primary care doctor to see a specialist.