Mrs. Tanner is enrolled in a Medicare Advantage HMO that offers a point of service option. If Mrs. Tanner needs particular medical care, she may see a doctor outside of her insurance plan without having to get prior clearance. This is further explained below.
What is Medicare Advantage HMO?
Generally, Healthcare costs for visits to physicians and other medical professionals are covered under Medicare Advantage HMO plans.
In conclusion, Mrs. Tanner has a point-of-service option via her Medicare Advantage HMO. Mrs. Tanner is allowed to visit a doctor outside of her insurance network if she has a special medical need.
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