Stephanie, who belongs to a managed-care health organization, is experiencing knee pain and needs to see a specialist. Stephanie must first visit a primary care physician and receive a referral to see a knee specialist. Stephanie has access to out-of-network health care if necessary. Stephanie is most likely a member of a(n) ________.

Question

Quizplus · Accepted Answer

D) Point-of-service (POS) requires a primary care physician and referrals to see specialists, as with HMOs, but permits out-of-network health care access. HMOs do not pay for out-of-network health care.

Stephanie, Who Belongs to a Managed-Care Health Organization, Is Experiencing