Features of Health Plans CheckPoint

Features of Health Plans CheckPoint - CheckPoint: Features...

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CheckPoint: Features of Health Plans There are five different health plan options that are available for people wanting health coverage. Indemnity Plans let a patient see whomever they would like to see with no restrictions and there are preauthorization’s required for some procedures. Preventative care is usually not covered with this plan and there is usually higher costs, deductibles and can be a coinsurance. Health Maintenance Organizations or HMO’s only allow people to see providers that are within the HMO network. The primary care physician manages all care and has to make all referrals for the patient to see another physician. There are no payments for out of network nonemergency services but some care requires preauthorizations. This plan features low copayments, there is a limited provider network and preventative care is covered with this plan. Point of Service or POS plans will let a person see either network providers or out of network providers. If a person sees a physician within the network the person will see a primary
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This note was uploaded on 05/09/2011 for the course HCR 220 taught by Professor Cvibanez during the Winter '10 term at University of Phoenix.

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Features of Health Plans CheckPoint - CheckPoint: Features...

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