Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby

Exercise 16

Managed care organizations often require different payments for different services. Table 1.1 shows the copayments for an HMO health plan. Study this schedule and answer these questions:
A. Does this health plan cover diabetic supplies? Dental exams? Emergency services?
B. Is the copayment amount for a PCP visit higher or lower than the charge for specialty care?
Table 1.1 Example of Benefits Under an HMO