In a(n) ____ program, the patient is allowed to choose a healthcare provider from amongst a list of preferred care providers (PCP) but may elect to see another "out of system" provider, without a referral, at a substantially higher copayment and/or deductible, similar to a fee-for-service arrangement.

Question

Quizplus · Accepted Answer

The described program is a Point of Service (POS) plan, where the patient has the option to choose a preferred provider from a network but can also see an out-of-network provider for an additional cost. HMO plans (A) typically require referrals for specialty care, and PPO plans (C) usually have lower out-of-pocket costs for in-network providers. HDPPO (D) is not a recognized healthcare plan type.

In A(n) ____ Program, the Patient Is Allowed to Choose