AHIP Exam AHM-540 Topic 3 Question 87 Discussion

Actual exam question for AHIP's AHM-540 exam

Question #: 87
Topic #: 3

The paragraph below contains two pairs of terms or phrases enclosed in parentheses. Determine which term or phrase in each pair correctly completes the paragraph. Then select the answer choice containing the terms or phrases that you have chosen.

Due to competitive pressures and consumer demand, many health plans now offer direct access or open access products. Under a direct access product, a member is (required / not required) to select a primary care provider (PCP), and is (required / not required) to obtain a referral from a PCP or the health plan before visiting a network specialist.

Arequired / required

Brequired / not required

Cnot required / required

Dnot required / not required

Show Suggested Answer

Suggested Answer: B

by Tomas at May 10, 2024, 11:30 AM

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Caitlin

1 months ago

I'm going with B) required / not required. Sounds like a pretty sweet deal - no PCP required, but you still get in-network coverage. Where do I sign up?

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France

4 days ago

I agree, no need for a PCP but still get to see a specialist without a referral.

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Janae

13 days ago

I think B) required / not required is the right choice. It does sound like a good deal.

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Marvel

2 months ago

B) is the way to go. It's like getting a free pass to see any specialist you want, without having to check in with your mom - I mean, PCP first.

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Joaquin

13 days ago

Direct access products definitely make it easier to get the care you need without any extra steps.

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Wilford

1 months ago

I prefer not being required to select a primary care provider, it gives me more flexibility.

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Delsie

1 months ago

I agree, having the freedom to see any specialist without a referral is convenient.

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Beckie

2 months ago

Definitely B) required / not required. I've had experience with these types of plans, and that's exactly how they work. No need to overthink it.

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Bo

2 months ago

I don't know, this question is giving me a headache. Why can't they just ask something simple like 'what's the square root of 64'? At least that I'd know for sure.

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Shawnta

10 hours ago

No, I believe it's A) required / required.

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Valentin

5 days ago

B) required / not required

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Bobbie

30 days ago

I think it's A) required / required.

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Darnell

1 months ago

A) required / required

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Tawny

2 months ago

B) required / not required makes the most sense to me. Seems like a direct access product would not require a PCP selection or referral, which is what the question is describing.

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Victor

2 months ago

But wouldn't it make sense for a member to be required to select a PCP and not required to obtain a referral? So, I still think A) is the correct answer.

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Joanna

2 months ago

I disagree, I believe the answer is B) required / not required.

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Victor

2 months ago

I think the answer is A) required / required.

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Erin

2 months ago

But wouldn't it make sense for a member to be required to select a PCP and not required to obtain a referral? That's why I think A) is the correct answer.

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Quinn

2 months ago

I disagree, I believe the answer is B) required / not required.

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Erin

2 months ago

I think the answer is A) required / required.

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