True or False: All Medicare Advantage plans require referrals to see specialists.

Study for the Anthem Medicare Advantage Certification Exam. Prepare with flashcards and multiple choice questions, each question includes hints and explanations. Get exam ready!

The correct answer is that not all Medicare Advantage plans require referrals to see specialists. Medicare Advantage plans can vary significantly in their structure and rules. Some plans, specifically Health Maintenance Organizations (HMOs), typically do require a primary care physician's referral to see a specialist. However, many other plans, such as Preferred Provider Organizations (PPOs), do not have this requirement. This means that enrollees in those plans can often visit a specialist without needing prior approval from their primary care provider. It’s important for members to review their specific plan details, as these rules can influence how they access care.

Understanding the differences among various types of Medicare Advantage plans is crucial for beneficiaries to know how best to navigate their healthcare options.

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