Point of Sale (POS) health plans
If you need to buy a private health plan, or even if you choose a health plan selection, your employer gives you, it is important to understand the main difference types of medical insurance. This will help you make the right choice for you and your family.
You've probably heard of preferred provider organizations (PPO) and integrated health care organizations (HMOs) have health insurance. In case you do not have to become familiar with the details, let me give you a brief explanation.
health networks
First, you must understand the networks. A network of health care providers including physicians, hospitals and other health services that are committed to join the network and enforce the rules of the network. Some of these rules may establish rates and billing practices. In exchange, the health professional will appear in the list of network providers of the insurance company that could bring some 'additional business.
HMO - These can be the most restrictive type of primary medical insurance plan. In exchange for strict controls, many costs are controlled. Most of the time you have to visit a network provider to get medical expenses covered. You can choose a primary care doctor, and he or she will direct your attention.
The positive side of these severe restrictions must be easily accessible and less pocket costs. The downside could be the lack of choice.
There may be some exceptions to the rules of the network, and you should read the policy to understand. An exception may be common to an emergency situation, when it is not practical to look for a network provider. Another exception could be made for the rare case where a network does not have a specific type of health care provider that you need. If you need a single source, and it is not an emergency situation, you should get your pre-authorized cases.
PPO - preferred provider organization also has a network of health care providers. To get the best coverage you need to visit the network provider as you would with an HMO. However, you can still get covered if you leave the network if you accept low levels of coverage. In other words, stick to the network will give you the lowest cost of our pocket.
POS health plans
The point of the sales plan is an HMO plan hybrid. You can still have a primary care physician, and a network. In this way, it is very similar to an HMO. However, you may still be covered if you leave the network, but you need to accept lower levels of coverage. In this way, similar to a POS is a PPO.
With a POS plan, the more control you give to the corporate network and insurance costs, the less you pay. However, it is still allowed to decide that it is necessary to obtain services outside the network. You just have to pay more.
It is a PPO, HMO, POS or better?
I can not tell you what kind of diet is best. This is all depends on your budget, how many choices you want to keep, and also the types of plans and networks in their city or country. A good HMO with a large and diverse network that will meet your needs. If you do not have access to a large network HMO, you may prefer to have more choices.
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