A client who has a history of multiple myeloma visits the nurse at his family physician's office. The client has been treated for the past several years by an oncologist.
He has found his experiences within the health care system to be emotionally challenging, trying to understand the health maintenance organization (HMO), and why he received a letter from the HMO stating his oncologist is no longer in the network, and asked him to choose another oncologist, and what can he do to continue the oral chemotherapy that insurance stated is no longer formulary because the price would be unbearable. What best next action should the nurse take to help the client?
A) Instruct the client that the HMO contracts with physicians and services, and the client may need to contact his oncologist's office and find out what recommendations they may have for the situation and the need for the medication.
B) The nurse should ask the family physician if he can see the client or make an appointment for the client so he can get a referral to another oncologist.
C) Instruct the client to call the number on the back of his HMO membership card and ask the HMO how to file a formal complaint.
D) Call the pharmacist who provides the oral chemotherapy agent and ask if there is an equivalent agent that is formulary.
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