Question 13012 of 324 · Texas Life, Accident and Health Agent Exam
An HMO's list of covered services, limitations, exclusions, copayments and the rights of the enrollee is found in the
Exactly one answer is correct.
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Correct answer to question 13012
- B: evidence of coverage
Explanation
The evidence of coverage must be filed with and approved by TDI before use, and it describes the benefits.
More questions: Texas Law: Health Maintenance Organizations
- 13013Which of these is required for an HMO to maintain its certificate of authority in Texas?
- 13014If an HMO enrollee moves out of the HMO's service area, the HMO may
- 13015A health maintenance organization usually pays its primary care physicians by
- 13016An HMO enrollee who needs a covered specialist service may need
- 13001In Texas, a health maintenance organization must obtain
- 13002The evidence of coverage for an HMO is