They differ in regard to:
- How bills are paid
- Ability to choose health care providers
- Out-of-pocket expenses
1.) Managed-Health-Care-Plan Category You will generally have less out-of -pocket expenses and less paperwork with this type of Health Care Plan.
Types of Managed- health-care plans, their advantages and disadvantages:
1. HMO’s ( Health Maintenance Organizations)
- lower out of pocket expenses
- fewer choices in regard to physicians and hospitals than other health insurance plans
- a PCP (Primary Care Physician) is required and will meet most of your health-care needs
- a referral is needed from your PCP before seeing a specialist
2. PPO’s (Preferred Provider Organizations)
- Health insurance companies offer a network of preferred doctors and hospitals
- These health care providers offer the members services at discounted rates
- Usually an annual individual or family deductible must be paid before the health insurance companies begin to pay out money for medical bills.
3. POS’s (Point of Service Plans)
- Combines features of both the HMO and PPO plans
- Members are usually required to choose a Primary Care Physician (PCP)
- PCP services are not usually subject to a deductible
- Preventative care visits are generally covered
2.) Indemnity-Health-Care-Plan Category Under this plan, insurance ompanies pay their share of the cost for services after they receive a bill. This may mean that you will have to pay your bill for medical care at the time of service and then seek reimbursement from your health insurance company.
