RN Exam Practice
Management of CareQuestion 1817 of 2368

A client with an HMO plan wants to see a specialist. Which information should the nurse give?

  1. The client may see any specialist without a referral
  2. The client pays a higher premium to see a specialist
  3. The primary care provider usually must request a referral, which may be denied
  4. The HMO always approves a referral from the primary provider
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Correct answer: The primary care provider usually must request a referral, which may be denied

Many HMOs require the primary care provider to request a referral. The HMO may or may not approve it.

Source: Nursing Management and Professional Concepts, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Health Care Economics: Types of Insurance Coverage. Licensed under CC BY 4.0.

Practice the topic "Management of Care"

Questions last reviewed: 18 October 2026