Question

Member Doug enrolled in a Health Maintenance Organization (HMO) MA Plan. He saw an out-of-network provider and received a bill for the entire cost of the visit. Doug called Medicare to complain and stated he was never told about these types of costs. What should the agent have explained better to Doug when he was enrolling in the plan

Answer 1

The agent have explained better to Doug when he was enrolling in the plan was explanation of cost to the customer.

An out of network provider has not signed contract with the organisation accept rembursments rate payment as full after the completion of contract. Sometimes this results in high price cost payments.

In a project it is usually involves five types of cost namely direct cost, indirect cost, fixed cost, variable cost and sunk cost.

Direct costs are related directly with the work or project associated that is entire cost of the project. Indirect cost are cost associated with projects like material costs etc determining the types of cost. Out of network provider is another level where some another organisation tend to deal with the costs involved.

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