Define Health Care Plans
- Health maintenance organizations (HMOs) allow you to choose a doctor from a list of "in-network" physicians and require you to go to that doctor in order to receive benefits. To see other medical personnel, the physician must refer you to another in-network provider or else you won't receive benefits.
- A preferred provider organization (PPO) also provides a list of "in-network" medical providers, but still allows benefits when going out of the network. The bill for out-of-network providers will likely be more expensive than if you had chosen one from the network.
- Point-of-service (POS) health care plans are a hybrid of HMOs and PPOs. The primary care physicians will refer to other providers within the plan, but will pay a predetermined amount of the bill if you go out of network. These plans are typically more expensive.
- Traditional health insurance, or indemnity health care plans, often costs more than the previously mentioned managed care plans and requires you to satisfy a deductible before it starts paying out benefits. The plans allows freedom to choose any doctor you desire and see specialists without prior approval from the primary care physician.
- The government offers two types of health care plans currently: Medicare and Medicaid. Medicare offers health insurance to those who have retired from the work force, regardless of their medical condition, while Medicaid is a health care program for those with low income.