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Natalie Chan is a member of the Ultra Health Plan. Whenever she needs non-emergency medical care, she sees Dr. David Craig, an internist. Ms. Chan cannot self-refer to a specialist, so she saw Dr. Craig when she experienced headaches. Dr. Craig referred h
Suggested Answer: C
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27 comments · newest first
RO
Rolande
1 day ago
I think C is the best answer. Dr. Craig is the gatekeeper.
AL
Alease
7 days ago
C really fits the scenario. Gatekeeper role is clear!
KE
Keneth
12 days ago
D is incorrect too. Arrow Hospital isn’t mentioned.
DO
Dorethea
17 days ago
B sounds tempting, but it’s not true for her.
NI
Nickolas
22 days ago
A is misleading. She only sees Dr. Craig for primary care.
WA
Wava
27 days ago
Agreed! He coordinates her care.
LI
Lizbeth
1 month ago
I think C is the best answer. Dr. Craig is the gatekeeper.
WA
Walton
1 month ago
C is clear. Gatekeeper role is crucial in this plan.
GL
Gladys
1 month ago
D is tricky. We don't know about Arrow Hospital.
LE
Lea
2 months ago
B is misleading. No open access for Ms. Chan.
BE
Bettina
2 months ago
A sounds good too, but I lean towards C.
RI
Ricarda
2 months ago
Agreed! C makes sense. He coordinates her care.
JO
Jovita
2 months ago
I think C is the best choice. Dr. Craig is the gatekeeper.
ME
Merilyn
2 months ago
Arrow Hospital isn't part of Ultra's network? That's a bummer!
VI
Viki
2 months ago
Totally agree, Dr. Craig coordinates everything for her.
DE
Delmy
3 months ago
Wait, so she can't just go to a specialist directly? That's surprising!
MA
Margart
3 months ago
I thought members could see any provider in the network?
PE
Pearlene
3 months ago
Dr. Craig is definitely the gatekeeper for Ms. Chan's care.
TH
Theresia
3 months ago
Ultra's network does include Dr. Lee, but not Arrow Hospital.
AR
Arminda
3 months ago
Totally agree, Dr. Craig is coordinating everything for her.
FR
France
3 months ago
Wait, so she can't just go to a specialist directly? That's surprising!
TI
Tish
4 months ago
I thought members could see any provider in the network?
MO
Mozell
4 months ago
Dr. Craig is definitely the gatekeeper for Ms. Chan's care.
LE
Leota
4 months ago
I feel like option B is misleading because I thought members had to go through their primary care provider first.
AR
Arlene
4 months ago
I’m a bit uncertain about the network details; did we cover if all providers are included in the plan?
AM
Amalia
4 months ago
I remember a practice question about how primary care providers coordinate care, so I feel like option C makes the most sense here.
SA
Santos
6 months ago
I think Dr. Craig acts as a gatekeeper, but I'm not sure if that means Ms. Chan can see other doctors without a referral.