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AHIP Exam AHM-540 Topic 3 Question 87 Discussion

Actual exam question for AHIP's AHM-540 exam
Question #: 87
Topic #: 3
[All AHM-540 Questions]

The paragraph below contains two pairs of terms or phrases enclosed in parentheses. Determine which term or phrase in each pair correctly completes the paragraph. Then select the answer choice containing the terms or phrases that you have chosen.

Due to competitive pressures and consumer demand, many health plans now offer direct access or open access products. Under a direct access product, a member is (required / not required) to select a primary care provider (PCP), and is (required / not required) to obtain a referral from a PCP or the health plan before visiting a network specialist.

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Suggested Answer: B

Contribute your Thoughts:

Adelaide
9 months ago
I went with B too. D feels more like group healthcare limiting visits and payments.
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Nan
9 months ago
But B makes sense because it includes both direct and indirect costs.
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Shayne
10 months ago
Really? I think it's D. They limit benefits big time.
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Mitsue
10 months ago
I thought it was B. Workers' comp covers a lot more costs.
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Timmy
11 months ago
Yeah, tricky one. I was torn between B and D.
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Hoa
11 months ago
Did you see the question about the difference between group healthcare and workers' compensation?
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