Answer the following statements true (T) or false (F)

1) If a member in a health maintenance organization (HMO) sees a specialist without a referral from his or her primary care physician (PCP), the HMO will not pay for the service.
2) Point-of-service (POS) plans require members to select a primary care physician (PCP).
3) Medical healthcare coverage cost in 2012 averaged $6,000 per employee.
4) It is possible for a health maintenance organization (HMO) member to receive care from a
non-network provider or facility in an emergency situation.
5) A managed care organization (MCO) collects data on care delivery, such as identifying the
percentage of children in a health maintenance organization (HMO) who have been immunized.


1. TRUE
2. FALSE
3. FALSE
4. TRUE
5. TRUE

Health Professions

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