QUESTION: 37

By offering a comprehensive set of healthcare benefits to its members, an HMO ensures that its members obtain quality, cost-effective, and appropriate medical care. Ways that an HMO provides comprehensive care include

coordinating care across a variety of benefits
emphasizing preventive care by covering many preventive services either in full or with a small copayment
offering its members access to wellness programs
All of the above

Answer(s): D

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QUESTION: 38

Col. Martin Avery, on active duty in the U.S. Army, is eligible to receive healthcare benefits under one of the three TRICARE health plan options. If Col Avery elects to participate in TRICARE Prime, he will be

able to obtain full benefits for services obtained from network and non-network providers
subject to copayment, deductible, and coinsurance requirements for any medical care he receives
required to formally enroll for coverage and pay an enrollment fee
assigned to a primary care manager who is responsible for coordinating all his care

Answer(s): D

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QUESTION: 39

Consumer-directed health plans are not a new concept. They actually got their start in the late 1970s with the advent of:

Health savings accounts (HSAs)
Health reimbursement arrangements (HRAs)
Medical savings accounts (MSAs)
Flexible spending arrangements (FSAs)

Answer(s): D

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QUESTION: 40

Dr. Julia Phram is a cardiologist under contract to Holcomb HMO, Inc., a typical closed-panel plan. The following statements are about this situation. Select the answer choice containing the correct statement.

All members of Holcomb HMO must select Dr. Phram as their primary care physician (PCP).
Any physician who meets Holcomb's standards of care is eligible to contract with Holcomb HMO as a provider.
Dr. Phram is either an employee of Holcomb HMO or belongs to a group of physicians that has contracted with Holcomb HMO
Holcomb HMO plan members may self-refer to Dr. Phram at full benefits without first obtaining a referral from their PCPs.

Answer(s): A

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Free AHM-250 Exam Braindumps (page: 11)

QUESTION: 37

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QUESTION: 39

QUESTION: 40

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