Managed Care Nursing

Category - Overview

A 25-year-old female has coverage for specialty dermatology care under her MCO plan. The plan has “caps” on the costs and/or number of visits.

What is the managed care term for this description?
  1. Benefit caps
  2. Capitation of benefits
  3. Benefit limits
  4. Capitation fees
Explanation
Answer: C - Benefit limits is the term used to describe “caps” on the costs and/or number of visits.
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