[Verified Answer]: Does the patient plan restrict what…

Does the patient plan restrict what provider a patient can see? Unlike traditional health insurance, where the patient can choose their provider, many managed care organizations allow for reimbursements only to authorized providers. What are the patient’s out-of-pocket costs? Some MCOs, such as HMOs, use prepaid fixed fees. Others may require copays or higher premiums. Does the plan require a gatekeeper’s approval to see specialists? One way to control costs is to control access to care. Many MCOs require that a patient see his or her primary care provider or another gatekeeper before being referred to a secondary provider. Let’s review the characteristics of each of the MCOs here. Type of PlanPOSEPOHMOPPO Gatekeeper status Self- Referrals Primary Care Provider Gatekeeper Primary Care Provider Gatekeeper Self- Referrals Network status In- or Out- of-Network In-Network Providers In-Network Providers In- or Out- of-Network ProvidersOnlyOnlyProviders Which MCOs allow for self-referrals? Select all that apply. a. PPO b. POS c. HMO d. EPO