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AHIP AHM-250 Exam - Topic 2 Question 126 Discussion

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
C) Within Ultra's system, Dr. Craig serves as a coordinator of care or gatekeeper for the medical services that Ms. Chan receives.
A) Within Ultra's system, Ms. Chan received primary care from both Dr. Craig and Dr. Lee.
B) Ultra's system allows its members open access to all of Ultra's participating providers.
D) Ultra's network of providers includes Dr. Craig and Dr. Lee but not Arrow Hospital.

AHIP AHM-250 Exam - Topic 2 Question 126 Discussion

Actual exam question for AHIP's AHM-250 exam
Question #: 126
Topic #: 2
[All AHM-250 Questions]

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

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Suggested Answer: C

by Billy at May 16, 2026, 07:50 AM

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Theresia
4 days ago
Ultra's network does include Dr. Lee, but not Arrow Hospital.
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Arminda
9 days ago
Totally agree, Dr. Craig is coordinating everything for her.
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France
15 days ago
Wait, so she can't just go to a specialist directly? That's surprising!
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Tish
20 days ago
I thought members could see any provider in the network?
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Mozell
25 days ago
Dr. Craig is definitely the gatekeeper for Ms. Chan's care.
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Leota
1 month ago
I feel like option B is misleading because I thought members had to go through their primary care provider first.
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Arlene
1 month ago
I’m a bit uncertain about the network details; did we cover if all providers are included in the plan?
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Amalia
1 month ago
I remember a practice question about how primary care providers coordinate care, so I feel like option C makes the most sense here.
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Santos
3 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.
upvoted 0 times
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