Janice dwants dto denroll din da dMedicare dAdvantage dplan. dWhich dof dthe dfollowing dis dNOT
dan deligibility drequirement? d- dCorrect dAnswer d- dDoes dnot dhave dany dpre-existing
dconditions, dsuch das ddiabetes dor dEnd dStage dRenal dDisease d(ESRD)
Member dDoug denrolled din da dHealth dMaintenance dOrganization d(HMO) dMA dPlan. dHe
dsaw dan dout-of-network dprovider dand dreceived da dbill dfor dthe dentire dcost dof dthe dvisit.
That din dmost dcases, dDoug dwill dpay dthe dentire dcost dof dthe dservice dif dhe dsees dan dout-of-
network dprovider.
That dexceptions dto dthe dprovider dnetwork drequirement dare demergency dvisits, durgent
dcare, dand drenal ddialysis dservices, dwhich dcan dbe dobtained dfrom dout-of-network
dproviders.
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