Emma is insured through her employer. She recently developed a rash on her leg and knew she needed to see a dermatologist, but first she had to see her regular physician for a referral.
When she went to her appointment with the specialist, Emma was relieved that her co-pay amount was rather low. In which type of managed care plan is Emma enrolled?
A) a health maintenance organization (HMO)
B) a preferred provider organization (PPO)
C) a mini-med plan
D) a point-of-service plan (POS)
Question 2
In a managed-care plan,
A) individual consumers pay a low monthly fee but the amount of care they can receive is limited.
B) the federal government covers health costs for all Americans over age 65.
C) the consumer uses any medical provider they choose, and then sends a bill to the insurance company, which pays part of it, leaving the consumer to pay the rest.
D) the insurer contracts with a specific group of health providers, which the consumer must use or face higher out-of-pocket costs.
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