Insurance Health Insurance

About Managed Health Care

    Types

    • The three types of managed health care are Health Maintenance Organization (HMO), Point of Service (POS) and Preferred Provider Organization (PPO).

    Benefits

    • Manage care health plans are designed to keep member's medical costs low by contracting a network of doctors who will provide care at a discounted rate.

    Primary Care Physicians

    • Managed health care plans may require the member to choose a Primary Care Physician (PCP). A PCP is a doctor in charge of facilitating care for patients as well as issuing referrals to see other physicians and specialists.

    Misconceptions

    • PPO members are not required to choose a PCP to manage their care unlike those belonging to HMO and POS plans.

    Warning

    • If a member of a managed health care plan decides to seek out-of-network care without a referral from their PCP, they will have to pay more out-of-pocket and in some cases the entire medical bill.

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