In what type of organization do members not receive benefits if they seek care outside a limited network of providers?

The correct answer is the organization where members do not receive benefits when seeking care outside a limited network of providers is known as an Exclusive Provider Organization (EPO). An EPO is a type of managed care plan that allows members to have coverage only when they utilize a specified network of healthcare providers. This means that if members choose to see a doctor or go to a facility that is not part of the EPO's network, they will typically have to pay the full cost out of pocket, as the plan does not provide any benefits for care rendered outside of its network.

This structure encourages members to use the network of providers, which can help control costs and manage care more effectively. It is important for members to understand this restriction, as it is different from other types of healthcare plans, such as preferred provider organizations (PPOs), which do offer some level of coverage for out-of-network services, albeit at a higher cost. Similarly, health maintenance organizations (HMOs) require members to seek primary care from within their network and generally do not offer out-of-network benefits at all, and integrated delivery systems refer more broadly to a network designed to provide a continuum of care, which does not specifically limit benefits based on provider selection in the same way an