Which of the following is NOT typically provided by health maintenance organizations (HMOs)?

Disable ads (and more) with a premium pass for a one time $4.99 payment

Prepare for the Wisconsin Accident and Health Insurance Exam. Study with interactive questions, including hints and explanations. Optimize your chances of success and achieve your certification!

Health Maintenance Organizations (HMOs) are designed to provide comprehensive healthcare services to members through a network of providers. They typically emphasize preventive care and cost-effective management of healthcare services.

The option regarding "payment for convenience items" is not typically included in the benefits provided by HMOs. Convenience items can refer to services or products that are not medically necessary, such as over-the-counter medications or certain elective procedures that do not directly contribute to the treatment of a medical condition. HMOs focus on essential health services and often have policies that limit coverage to medically necessary treatments, which means non-essential items would typically not be covered.

In contrast, preadmission certification, discharge planning, and concurrent utilization review are standard practices within HMOs. These processes help manage patient care effectively, ensuring that services are necessary and appropriate while also coordinating patient transitions within the healthcare system. This level of oversight is integral to controlling costs and maintaining the health of the covered population.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy