Covered California Certified Enroller Practice Exam

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What information can members expect to receive after enrolling in an EPO?

  1. Details about out-of-network services

  2. Important benefit information and instructions for coverage

  3. A list of all doctors in their area

  4. General healthcare tips

The correct answer is: Important benefit information and instructions for coverage

Members enrolling in an Exclusive Provider Organization (EPO) can expect to receive important benefit information and specific instructions on how to utilize their coverage. This information typically includes details about the services that are covered, any cost-sharing requirements such as copays or deductibles, and the process for accessing care within the network. Understanding these benefits and instructions is crucial for members, as EPOs often do not cover any services provided outside of their network except in emergencies, making it essential for members to know how to navigate their plan effectively. While options like out-of-network services, lists of local doctors, and general healthcare tips may be relevant to members, they do not specifically encapsulate the critical information that is directly related to the benefits and coverage that the EPO offers immediately after enrollment. Therefore, the focus on essential benefit information and instructions aligns best with what members can realistically expect upon enrolling.