which type of insurance requires referrals to specialists, and precertification and preauthorization for…

which type of insurance requires referrals to specialists, and precertification and preauthorization for hospital admissions, outpatient procedures, and treatments?\ncapitation\naco\nhmo\nppo\nquestion 5\nwhich insurance plan is not government funded?\ntricare\nmedicare\nworker’s compensation\nmedicaid

which type of insurance requires referrals to specialists, and precertification and preauthorization for hospital admissions, outpatient procedures, and treatments?\ncapitation\naco\nhmo\nppo\nquestion 5\nwhich insurance plan is not government funded?\ntricare\nmedicare\nworker’s compensation\nmedicaid

Answer

Brief Explanations:

  1. HMOs (Health - Maintenance Organizations) typically require referrals to specialists, pre - certification, and pre - authorization for various medical services as they focus on managed care within a network.
  2. Tricare is for military, Medicare is for the elderly and certain disabled, and Medicaid is for low - income individuals, all government - funded. Worker's compensation is funded by employers for work - related injuries and is not government - funded in the same sense as the others.

Answer:

Question 1: C. HMO Question 2: C. Worker's compensation