There are many different types of insurance companies and different ways to pay health care providers. Choosing the appropriate health plan to fit your needs is where the work comes in. Choosing between fee-for-service, HMO’s, and PPO’s, is where it starts with Medicare advantage plans. Fee-for-service plans are when the provider is paid a set amount for each service provided according to his list of charges, also known as the fee schedule. There is no copay included. Although the provider has these set fees it is up to the insurance provider what they will pay. Medicare works on the 80/20 rule. The one thing that is an advantage for the patient with Medicare, is that they are able to choose their provider as long as
There are many different types of insurance companies and different ways to pay health care providers. Choosing the appropriate health plan to fit your needs is where the work comes in. Choosing between fee-for-service, HMO’s, and PPO’s, is where it starts with Medicare advantage plans. Fee-for-service plans are when the provider is paid a set amount for each service provided according to his list of charges, also known as the fee schedule. There is no copay included. Although the provider has these set fees it is up to the insurance provider what they will pay. Medicare works on the 80/20 rule. The one thing that is an advantage for the patient with Medicare, is that they are able to choose their provider as long as