A client has just been enrolled (through her employer) in an HMO. The

A client has just been enrolled (through her employer) in an HMO. The client’s previous experience with health care coverage through her employer was with a PPO. The client asks the occupational health nurse to explain the difference.

The best response by the nurse is which of the following?
1. “You’ll have good health care benefits, so don’t worry.”
2. “Both the HMO and PPO are covered by your employer so it’s really not your concern.”
3. “Your PPO offered you a choice in your health care provider as well as services. Now, you will choose a primary care provider who will evaluate your health and will coordinate all of your care.”
4. “You really should be happy about the HMO. You’ll pay little, if any, out-of-pocket expense.”

ANSWER

The best response by the nurse is which of the following?
1. “You’ll have good health care benefits, so don’t worry.”
2. “Both the HMO and PPO are covered by your employer so it’s really not your concern.”
3. “Your PPO offered you a choice in your health care provider as well as services. Now, you will choose a primary care provider who will evaluate your health and will coordinate all of your care.”
4. “You really should be happy about the HMO. You’ll pay little, if any, out-of-pocket expense.”