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insurance q - parmida
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08-05-2006, 08:50 AM
45y old stockbroker with 2 kids wants to choose health plan at work with most choice in choosing physician which one:
1.HMO health maintenance org 2.PPO peferred provider org 3.POS point of service plan 4.fee for service plan
08-05-2006, 09:28 AM
Fee-for-Service (Indemnity Plan)
This is the traditional kind of health care policy. Insurance companies pay fees for the services provided to the insured people covered by the policy. This type of health insurance offers the most choices of doctors and hospitals. You can choose any doctor you wish and change doctors any time. You can go to any hospital in any part of the country.
08-05-2006, 09:36 AM
Health Maintenance Organizations (HMOs)
Health maintenance organizations are prepaid health plans. As an HMO member, you pay a monthly premium. In exchange, the HMO provides comprehensive care for you and your family, including doctors' visits, hospital stays, emergency care, surgery, lab tests, X-rays and therapy. The HMO arranges for this care either directly in its own group practice and/or through doctors and other health care professionals under contract. Usually, your choices of doctors and hospitals are limited to those that have agreements with the HMO to provide care. However, exceptions are made in emergencies or when medically necessary. There may be a small copayment for each office visit, such as $5 for a doctor's visit or $25 for hospital emergency room treatment. Your total medical costs will likely be lower and more predictable in an HMO than with fee-for-service insurance.
08-05-2006, 10:03 AM
hi, Parmida:
sorry is me again, what is your source of the exp.? it is good, and to the point. thanks |
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