Question

question 4 (2.5 points)
which type of hmo is similar to a medicare advantage plan, except that the
individual receives health care from a non - network provider, and the original
medicare plan covers the services? the individual pays medicare part a and part b
coinsurance and deductibles.

medicare advantage
medicare cost plan
medicare supplementary insurance
medicare select
a medicare medical necessity denial is a denial of otherwise covered services that
were found to be not _____.

Explanation:

Medicare Advantage plans are managed care plans (like HMOs or PPOs) that are an alternative to Original Medicare. They often have networks of providers, similar to HMOs. Medicare SELECT is a type of Medicare Supplement Insurance (Medigap) policy that has a network of providers. If you use a non - network provider, you may have to pay more or all of the cost. Medicare Supplemental Insurance (Medigap) helps pay some of the out - of - pocket costs (like coinsurance, copayments, and deductibles) that Original Medicare doesn't cover. A Medicare Cost Plan allows you to get Medicare benefits through a local plan. You can usually choose to get care either through the plan's network or from Original Medicare.

Answer:

Medicare SELECT