Florida Insurance Claims Adjuster License Practice Exam

An organization that provides comprehensive health services to its members for a prepaid fixed fee, equivalent to an insurance premium, is known as:

1. A Professional Practitioner Group

2. A PPO

3. A Health Managed Hospital

4. An HMO

The correct answer is: An HMO

An HMO, or Health Maintenance Organization, is an organization that offers a range of health care services for a prepaid fixed fee, often equivalent to an insurance premium. This type of health plan typically has a network of providers and facilities that members must use in order to receive coverage. This is different from a PPO, or Preferred Provider Organization, which allows members to choose from a wider range of providers and typically pays a portion of the cost of out-of-network care. A Professional Practitioner Group refers to a group of individual healthcare providers, while a Health Managed Hospital is not a commonly used term in healthcare.