United Health Coverage (UHC) Medicare Basics Practice Test 2025 - Free Medicare Basics Practice Questions and Study Guide

The statement indicating that HMO plans in Medicare Advantage offer coverage for services outside their network is false. HMO (Health Maintenance Organization) plans generally operate on a basis where members are required to receive care exclusively from the network of providers specified by the plan. If a member seeks care from an out-of-network provider, they typically will not have coverage for those services, except in certain emergency situations.

On the other hand, the requirement for members to select a primary care physician is a hallmark of HMO plans, as it helps coordinate care and ensures that all medical services are managed through a central point. Additionally, the referral system to see specialists is a common practice in these plans, which helps manage costs and ensure appropriate care pathways are followed. Many HMO plans also provide additional wellness benefits that go beyond standard Medicare coverage, focusing on preventive care and health promotion.