Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to access providers. What should you tell him? a. Mr. Kumar will be able to obtain routine care outside of the plan’s service area but will pay a higher co-payment (except in anemergency). b. In most Medicare Advantage HMOs, Mr. Kumar must generally obtain his services only from providers within the plan’snetwork (except in an emergency or where care is unavailable within the network). c. In Medicare Advantage HMO plans, services providedby primary care physicians are covered at 100%, butthose of specialists are covered at 80%. Incorrect: HMO enrollees generally do not have coinsurancecost-sharing when services are provided in-network byprimary care physicians and specialists. d. With any Medicare Advantage HMO, Mr. Kumar will be able to see any provider he likes, so long as that provider participatesin Original Medicare.
[Solved]: Mr
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