If you know what exactly you are looking for, then picking the right plan will not be much troublesome. When it comes to tedious paper work no one wants to face it. So Managed Care plans are designed in such a way that they involve less documentation and low out-of-pocket cost.Managed care plans are classified in following categories on the basis of their different characteristics;
- HMO: It is the Health Maintenance Organization which is very basic and most economical of all health insurance plans.Many companies prefer to give their employees HMO which provides basic health coverage in affordable amount. HMO is a plan where a network of participating doctors and hospitals provides medical care. Members of the HMO plan need to select doctors only out of their health plan’s network or else they‘ll have to pay full amount out of their own pocket.
- POS: It is Point Of Service Plan which has some additional features than HMO plan. In POS many employees seek doctors outside of their health plan’s network. That’s why POS plan has more financial participation by patient as he is not tied up with managed features of the HMO plan. POS plans provide more freedom of choice and high flexibility which makes them more popular as compared to HMO plans.
- PPO: This is Preferred Provider Organization, which gives members more liberty and options as compared to HMO and POS that make PPO more comprehensive in its features. PPO does not provide copayment option instead it gives an option of coinsurance. In this plan, members can seek a service not only inside their health plan network but also from other networks they require, which makes this plan more expensive as compared to other plans like HMO and POS.
When considering MCP, an extraordinary focus should be given while selecting physicians and hospitals for utilization of maximum benefits. There are a number of different health insurance plans available with different companies which are combination of above types. It is important to understand the basics of health insurance, features of different plans, various options available and their cost before picking up the right insurance plan.