Question

PLEASE HELP ME 16 points

Select the correct answer.
Which of the following statements about a PPO is FALSE? A. A PPO is a type of health insurance in which the physicians agree to charge less for members.

B. A PPO is a form of managed health care.

C. Members of a PPO cannot choose a physician outside the plan.

D. All of the above are TRUE

Answer 1

The correct answer is C. Members of a PPO cannot choose a physician outside the plan.

Step-by-step explanation:

The correct answer is C. Members of a PPO cannot choose a physician outside the plan. A Preferred Provider Organization (PPO) is a type of health insurance where members have the flexibility to choose any healthcare provider, including specialists, without requiring a referral. PPOs do not restrict members to a specific network of providers, unlike Health Maintenance Organizations (HMOs). In a PPO, members have the freedom to seek care outside the plan's network, although out-of-network care may result in higher costs.

Answer 2

C. Members of a PPO cannot choose a physician outside the plan.

Step-by-step explanation:

"PPO" is the acronym for "Preferred Provider Organization." This is a type of health insurance or managed care plan that is ideal for people who frequently visit the hospital. So this makes choice B true.

Unlike HMO (Health Maintenance Organization), the PPO is more flexible because it allows members to choose their own physician outside of the plan. So this makes choice C False.

However, the cost is more expensive to the member if he chooses a physician outside the PPO when compared to choosing a physician who belongs to the PPO. If he chooses a physician who belongs to the PPO, the charge is going to be less for him (for the member). This makes choice A true.