Which of the following is

not

a major difference between health plans of Health

Maintenance Organizations (HMOs) and traditional fee-for-service health insurance

plans?

a) HMOs typically require enrollees to visit gatekeepers before seeing a specialist

provider whereas fee-for-service plans do not.

b) Fee-for-service payments encourage under-treatment while the typical HMO

capitation payment encourages over-treatment.

c) Patients with chronic diseases are more likely to be assigned a case manager to

monitor care in an HMO plan than in a fee-for-service plan.

d) In an HMO plan specialty services require a specific referral from a primary care

physician (PCP) to the specialist, whereas in a fee-for-service plan enrollees may

visit a specialist without a PCP's referral

5. In the original Medicare plan all enrollees are automatically enrolled in ______ and most

choose

to enroll in _______.

a) Part A; Part B

b) Part B; Part A

c) Part C; Part A

d) Part D; Part C