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Question
harry has medical insurance through an hmo. he would like to see a podiatrist about the foot pain he has been having. what is the first step he will have to take in order to see his podiatrist? a. schedule a visit to a specialist out-of-network b. get a referral from his primary care physician c. arrange a meeting with his hmo provider d. get a hospital to diagnose his condition
HMO (Health Maintenance Organization) plans typically require members to obtain a referral from their in-network primary care physician before seeing a specialist like a podiatrist. Out-of-network visits are generally not covered without prior authorization, meeting with the HMO provider is not the first step, and a hospital diagnosis is not required to initiate specialist care through an HMO.
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B. get a referral from his primary care physician