The CIGNA MCO allows its members to choose, at the time they need medical care,

Question

The CIGNA MCO allows its members to choose, at the time they need medical care, to receive the care either from within CIGNA's network of providers of from an out of network provider. If plan members elect to receive care from an in-plan provider, the out of pocket cost are lower. If they elected to see an out-of network provider the out of pocket cost are higher. This information indicates that CIGNA most likely offers its plan a type of plan option know as:
1. EPO 2. SPP 3. PPO 4. HMO
The CIGNA MCO allows its members to choose, at the time they need medical care, to receive the care either from within CIGNA's network of providers of from an out of network provider. If plan members elect to receive care from an in-plan provider, the out of pocket cost are lower. If they elected to see an out-of network provider the out of pocket cost are higher. This information indicates that CIGNA most likely offers its plan a type of plan option know as:
1. EPO 2. SPP 3. PPO 4. HMO

1. EPO 2. SPP 3. PPO 4. HMO

Explanation / Answer

Exclusive Provider Organization (EPO) An EPO plan provides a localized network of doctors and other health care professionals. Depending on the plan, Primary Care Physician selection and referrals to see Specialists are either not required, may be required or encouraged. Away from home care may or may not be included. Plans do not offer out-of-network coverage except for emergency services as defined in the plan

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