A patient tells the nurse that her primary care provider wants her to see a specialist, but the specialist is out of the network and her deductible will be higher. The nurse realizes the patient is a member of which type of health care organization?

Question

Quizplus · Accepted Answer

Preferred provider organizations (PPOs) allow patients to see providers both in and out of network, but usually have higher deductibles and co-pays for out-of-network providers. This is different from HMOs, which usually only cover care provided by network providers. Medicare and independent practice associations (IPAs) do not necessarily have anything to do with in or out-of-network providers.

A Patient Tells the Nurse That Her Primary Care Provider