Which of the following is a requirement for Medicare PPO enrollees?

Prepare for the North Carolina Medicare Supplement and Long-Term Care Agent Test with flashcards and multiple-choice questions. Each comes with hints and explanations. Ace your exam confidently!

The requirement for Medicare PPO enrollees is that they can see any doctor that accepts Medicare. This flexibility is a hallmark of Medicare Preferred Provider Organization (PPO) plans. Enrollees are not restricted to a network of providers; they have the freedom to choose healthcare providers, including specialists, without needing a referral and regardless of whether those providers are within the plan's preferred network or not.

This attribute is particularly appealing to individuals who desire a broader choice of medical providers or those who might travel frequently and require care from various physicians across different locations.

The other choices do not reflect the key features of a PPO plan. For example, requiring a primary care physician or needing referrals to see specialists is more characteristic of Health Maintenance Organization (HMO) plans, which emphasizes coordinated care through a primary doctor. Additionally, while there may be out-of-network costs associated with seeing providers outside of the network, PPOs do allow members to receive care from out-of-network providers, which is not permitted in certain plan types.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy