Maintenance fee

These plans are the health maintenance organizations (HMO), preferred provider organizations (PPO), and point-of-service (POS). HMO is a plan that is based off of prepaid plans. The prepaid plans are as it seem, it is a plan that is prepaid mostly on a monthly basis. You are able to…

for the services. Managed care is also characterized by requirements of using providers in the network, prepaid premiums and promoting preventive care 4. There are main types of managed care plans: HMO, PPO and point – of – service. Health maintenance organization provides its members health benefits where individual have to pay monthly premium in order to use the benefits. In order the benefits to be covered by HMOs (unless it’s an emergency service) the patient must use health provider…

For this assignment, I chose to shadow a health care employee. The organization I visited was Kaiser Permanente. Kaiser has a very interesting history that has guided the HMO (Health Maintenance Organization) to where they are today. They started in the early 1930’s, providing health care for construction workers on the Colorado River Aqueduct Project. Dr. Sidney Garfield provided care for injured and sick workers and while the employees were being taken care of, Dr. Garfield was losing money.…

Various HMO models (Staff, Group, & Network) Health Maintenance Organizations (HMO) have been around since the 20th century. They were not made to operate as they do currently in today’s world until the Health Maintenance Organization Act of 1973 set federal rules on how the operations of HMO should be conducted. HMO’s have various models, but despite the model, in each HMO, the employer pays the monthly premium for the HMO service, which reduces the overhead for employees seeking medical help.…

your coverage by your insurance by ten percent while lowering the cost out of your pocket by 10 percent. Along with the level of benefits, you also have the option of picking the plan that best suites your needs. This includes plans such as:Health maintenance organizations (HMOs), Preferred provider organizations (PPOs), Point-of-service (POS), and High-deductible health plans (HDHPs). Knowing the details of each option can help you pick a health insurance that will comply with your budget and…

An American Health Insurance Company The history Aetna, dates back to the 1800’s when the company started operating as Aetna Fire Insurance Company back in 1819. Aetna then organized an annuity fund to sell life insurance in 1853 changing the company’s name to Aetna Life Insurance Company. The company’s first president Elipahlet A. Bulkeley decided to keep the name “Aetna” to take advantage of the good reputation, and the name was inspired by an 11,000-foot volcano on the eastern shores of…

covers the same expenses and benefits but the only difference is the amount the patient pay for the medical costs. The higher the plan, the more the insurance pays for the bill. Within each metal levels are different types of plans. An HMO (health maintenance organization) restricts a person to only using doctors within the plan’s network and the patient pays full cost if the person goes outside of the network. PPOs and POSs allow patients to go outside of the network for an additional cost.…

years of serving as an enlisted member of both Active Duty Air Force and the Georgia Air National Guard (GANG), I applied and was selected for a commission as an officer in the GANG. At the time of my selection I was serving as a full time aircraft maintenance technician in the GANG, and I was earning a good salary while enjoying job security. Being selected as an officer meant I would have to resign from my full time job with the GANG; therefore, after my training was complete, I would be left…

“Zen and the art of motorcycle maintenance” written by Robert M. Pirsig expresses what the true meaning of quality and gumption really is and what it is like to experience a moment of your life where nothing else matters, Also known as a Zen moment. Chris Pirsig is going to be…

predetermined price. Managed care has many diverse care plans. Types of managed care organizations are health maintenance organizations, preferred provider organizations, point-of-service, and consumer directed health plans. The health maintenance organization offer members a range of health benefits for a set monthly fee. Members must use care providers and facilities with in the health maintenance organizations network in order to obtain coverage, unless it is an emergency. HMOs are…