[Verified Answer]: Mrs

Mrs. Robles is considering a Medicare Advantage PPO and has questions about which providers she can go to for her health care. What should you tell her? Question 15Answer a. Mrs. Robles should be aware that generally plan providers can decide, on a case-by-case basis, whether they will treat her. b. Mrs. Robles can obtain care from any provider who participates in Original Medicare, but generally will have a higher cost-sharing amount if she sees a provider who/that is not a part of the PPO network. c. In general, Mrs. Robles will need a referral to see specialists. d. In general, Mrs. Robles can obtain care from any provider who participates in Original Medicare but will have to pay the difference between the plan’s allowed amount and the provider’s usual and customary charge.