New York Insurance Exam Practice Question
Which of the following is a feature of an HMO health plan?
Correct Answer: B
Rationale: An HMO (Health Maintenance Organization) plan typically requires members to select a primary care physician (PCP) who coordinates all healthcare services. This structure helps manage costs and ensures that care is streamlined.
Option A is incorrect as HMOs generally have limited provider networks, reducing flexibility in choosing providers. Option C is also wrong; HMOs require referrals from the PCP to see specialists, which is a key feature of their managed care approach. Lastly, option D is misleading; while there are out-of-pocket costs, HMOs often aim to keep these lower compared to other plans, making care more affordable for members.
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