what is an HMO plan and how does it differ from PPO and POS plans in managed care organizations?

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Question

Answer 1

Answer #1

HMO	PPO	POS
Health Maintenance Organization A primary physician is the key decision makers Referrals to be received after consultation with primary provider Cannot take services out of the coverage or service network Low premium Need not want to pay deductibles before the starting of coverage. Preventive care services are available	Preferred Provider. Organization Patient can meet any physician in the network without getting a reference A yearly deductible is done before the coverage starts Co payments has to be paid ,it will be approximately $10_$30 Covers out of network claims	Point of Service It is a mixture of HMO and PPO But a primary care provider has to be selected Out of network providers are available but at a greater cost Here annual payments, co payments, coinsurance has to be paid

Answer 2

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