MHP Practice Questions - AHIP Managed Healthcare Professional (MHP) Designation Exam

A PPO differs from an HMO primarily because a PPO:

Capitates all primary care providers Covers out-of-network care at a reduced benefit without requiring a PCP referral Restricts members to a closed panel of physicians Operates only under Medicare Advantage rules

Correct Answer:

Covers out-of-network care at a reduced benefit without requiring a PCP referral

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