Choosing health care can be very difficult or even overwhelming. You might have a lot of questions. Here are some tips and information for making your healthcare choices not so difficult.
Some insurance options are Parent’s health insurance IF you are still considered a dependent on your parents insurance you can usually stay on until your 26th birthday. Be sure to check with your plan to make sure you’re covered. Some schools and colleges offer basic coverage for a low cost or no cost. An Employer plan is the most common way to get insurance. Employers pay towards the Employees insurance and it helps keep the cost lower. When starting a new job you may need to wait a period of time before your eligible for insurance. …show more content…
With this kind of plan you get to choose your doctor and the time that works best for you. With this type of insurance you pay your doctor up front and then you send that claim into the insurance company. You get a percentage of the total bill back.
Managed Care Plans
A managed care plan is a care plan with a network of certain providers, hospitals and labs for a lower cost. Most employers offer managed care plans.
The four basic types of managed care plans are:
HMO (Health Maintenance Organization). When you join an HMO, First choose a primary care doctor. Your doctor provides medical care like annual physicals and hospitalization. You can only be treated by hospitals that accept your plan and you need to have a referral to be seen by a specialist.
PPO (Preferred Provider Organization). A PPO is more adjustable. You can choose any doctor you want and are not limited to a specific network. If the provider you choose happens to take part in your plan the cost will be lower than if the provider is outside the network.
POS (Point of Service). With a POS plan, you will need to decide on an in-network doctor for your care. You might have to pay extra if you leave your network.
EPO (Exclusive Provider Organization). An EPO is like a PPO, only the in-network has a smaller selection of …show more content…
Source: Kidshealth.org
Types of Managed Care Plans
HMO PPO POS EPO
Must stay in network Don’t Have to in Network Can but don’t have to stay in network Must stay in network
Must select a PCP You don’t select a PCP Usually must select a PCP You don’t have to select a PCP
Must get a referral from a PCP to see a specialist Must get a referral from a PCP to see a specialist Must get a referral from a PCP to see a specialist in a network Referral is not needed to see a
Some insurance options are Parent’s health insurance IF you are still considered a dependent on your parents insurance you can usually stay on until your 26th birthday. Be sure to check with your plan to make sure you’re covered. Some schools and colleges offer basic coverage for a low cost or no cost. An Employer plan is the most common way to get insurance. Employers pay towards the Employees insurance and it helps keep the cost lower. When starting a new job you may need to wait a period of time before your eligible for insurance. …show more content…
With this kind of plan you get to choose your doctor and the time that works best for you. With this type of insurance you pay your doctor up front and then you send that claim into the insurance company. You get a percentage of the total bill back.
Managed Care Plans
A managed care plan is a care plan with a network of certain providers, hospitals and labs for a lower cost. Most employers offer managed care plans.
The four basic types of managed care plans are:
HMO (Health Maintenance Organization). When you join an HMO, First choose a primary care doctor. Your doctor provides medical care like annual physicals and hospitalization. You can only be treated by hospitals that accept your plan and you need to have a referral to be seen by a specialist.
PPO (Preferred Provider Organization). A PPO is more adjustable. You can choose any doctor you want and are not limited to a specific network. If the provider you choose happens to take part in your plan the cost will be lower than if the provider is outside the network.
POS (Point of Service). With a POS plan, you will need to decide on an in-network doctor for your care. You might have to pay extra if you leave your network.
EPO (Exclusive Provider Organization). An EPO is like a PPO, only the in-network has a smaller selection of …show more content…
Source: Kidshealth.org
Types of Managed Care Plans
HMO PPO POS EPO
Must stay in network Don’t Have to in Network Can but don’t have to stay in network Must stay in network
Must select a PCP You don’t select a PCP Usually must select a PCP You don’t have to select a PCP
Must get a referral from a PCP to see a specialist Must get a referral from a PCP to see a specialist Must get a referral from a PCP to see a specialist in a network Referral is not needed to see a