health insurance
There are four main categories of health care plans. Each category below has its own link on our site to provide understanding regarding that specific form of coverage. After researching the numerous differing types of plans, consumers are able to choose the most appropriate plan for their unique situation. The main categories are as follows:
Indemnity plans. (Fee-for-service)
PPO. (Preferred Provider Organization)
POS. (Point-of-Service Plan)
HMO. (Health Maintenance Organization)
HMO - doctors inside the HMO network will be covered. All costs outside the HMO network need to be handled independently. HMO policy holders choose a Primary Care Physician (PCP) who will be responsible for coordinating their healthcare.
POS - Somewhat similar to an HMO plan, POS policyholders select a PCP to coordinate their healthcare. Your PCP can make referrals outside of the policy network and your POS plan will continue to finance the majority, if not all of your costs.
PPO - PPO policies allow for a far greater amount of freedom of choice. If you stay within your PPO network, your charges will be significantly lowered. You can choose to go outside the network without a referral and still get partial coverage, however you will be responsible for the bulk of the charges.
Indemnity - When it comes to Indemnity policies, there isn't any kind of network, freeing members up to visit the healthcare facility/personel of your choice. A claim will be submitted to your insurance company and they will pay for incurred services that are covered by your plan. This insurance is the most expensive type.
Learn Medical Billing Process, Tips to best AR Specialist. Medical Insurance Billing codes, Denial, procedure code and ICD 10, coverage guidelines. Demographic, charge, payment entry, AR process and eligibility and follow up. How to Guide.
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