Arizona Health Insurance Practice Exam

Enrollees in a staff model HMO normally have which of the following pharmacy options available?

1. Retail pharmacy

2. In-house pharmacy

3. Mail-order pharmacy

4. Any participating pharmacy

The correct answer is: In-house pharmacy

In a staff model Health Maintenance Organization (HMO), enrollees typically have access to an in-house pharmacy. This setup allows the HMO to manage health care services more effectively by integrating pharmacy services within their facilities. Enrollees receive their prescriptions directly from the in-house pharmacy, which is usually located within the medical offices or health centers managed by the HMO. This arrangement offers several advantages, including streamlined processes for prescribing and dispensing medications, better medication management, and increased accessibility for patients receiving other healthcare services in the same location. The in-house pharmacy is specifically designed to cater to the enrollment population of the HMO, ensuring that they have ready access to their medications as part of the coordinated care experience. While options like retail pharmacies, mail-order pharmacies, and any participating pharmacy may be available in other types of insurance models, they are not the primary choice in a staff model HMO, where in-house pharmacies are emphasized to provide a cohesive and efficient patient experience.