Three of the major types of health insurance are compiled into one large ground known as managed care health insurance. The types of insurance plans under managed care are: Health Maintenance Organizations(HMO), Preferred Provider Organizations(PPO), and Point of Service(POS). The most common feature for managed care plans is the typically low cost of premiums. The cost may not seem low, but compared to other insurance types they are reasonable. The key characteristic that allows managed care plans to keep their cost low is by having a network of health care providers that have agreed to a lower cost for healthcare in exchange for guaranteed business from the policholders that have chosen to go with the specific insurance company. HMOs provide treatment based on a fixed monthly fee that entitles
the insured member to get any amount of healthcare that is required. PPOs provide treatment only when the patient needs to be seen and pay for the service at the time of service. Then, the insurance company reimburses the policyholder the amount paid originally minus any co-payments due. POS plans have no deductible and small co-payments as long as the provider is in-network. However, your primary physician is responsible for all referrals to specialists or other services needed. Out-of-network care is still available but expect higher co-pays and also a deductible may be required as well.
Managed care health insurance plans help to keep low cost care by pushing policyholders to use their health insurance efficiently and by participating in wellness care which provides additional incentives. To see how much it would cost for you to get a managed care plan, get a free health insurance quote today!