Question

Which type of MA Plan is an HMO plan that also covers some

benefits out-of-network, generally at a higher cost?
a Private Fee-for-Service (PFFS)
b Point-of-Service (POS) Plan
c Medicare Supplement Insurance Plan
d Preferred Provider Organization (PPO)

Answer 1

The type of MA Plan that is an HMO but also covers some out-of-network services, typically at a higher cost, is the Point-of-Service (POS) Plan. The correct option is b.

Step-by-step explanation:

The type of Medicare Advantage (MA) Plan that is a Health Maintenance Organization (HMO) plan, which also covers some benefits outside of the network, generally at a higher cost, is a Point-of-Service (POS) Plan.

Unlike Private Fee-for-Service (PFFS) plans, POS plans allow for some out-of-network coverage. This contrasts with a Preferred Provider Organization (PPO), which typically has a broader network and more flexibility.

Medicare Supplement Insurance Plans are not Medicare Advantage plans and thus offer a different kind of coverage that helps pay for the costs not covered by original Medicare. The correct option is b.