Question

Prior to completing the enrollment form, you should always confirm the beneficiary's primary care physician (PCP) and/or specialists.

Select one:
A) True
B) False

Answer 1

True, it is essential to confirm the beneficiary's PCP and specialists before completing enrollment to ensure proper coordination of care and to meet the requirements of the insurance plan.

Step-by-step explanation:

Direct answer: A) True

Prior to completing the enrollment form, it is indeed essential to confirm the beneficiary's primary care physician (PCP) and/or specialists. This step is crucial because the PCP and specialists play significant roles in the beneficiary's healthcare. They are responsible for coordinating patient care and may need to approve referrals to other specialists, as they often serve as the initial point of contact for the patient's healthcare needs.

Ensuring that the correct healthcare providers are listed can save time, prevent miscommunication, and help in maintaining the continuity of care. Furthermore, some insurance policies require beneficiaries to select a PCP within the plan's network to benefit from full coverage. Failing to do so might result in higher out-of-pocket costs for the beneficiary, or even denial of services.