Question

blue cross blue shield (bcbs) is the most widely recognized insurance company. most physicians and hospitals accept bcbs. read the statement. then choose which type of blue cross blue shield plan the patient likely has. the patients policy provides hospital coverage and the patient does not need a referral to see a provider. which blue cross blue shield plan does this patient most likely have? a. hmo b. epo c. pos d. indemnity coverage

Explanation:

• HMO (Health Maintenance Organization) typically requires referrals for non - primary care providers.
• EPO (Exclusive Provider Organization) usually does not require referrals to see in - network providers.
• POS (Point of Service) may have referral requirements depending on the plan.
• Indemnity coverage is more traditional and not as structured in terms of referrals.

Since the patient does not need a referral, EPO is a likely candidate.

Answer:

B. EPO