Health Benefits Program (Types) - Revision history

Cicpbuchanan at 22:45, 30 May 2013

2013-05-30T22:45:50Z

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	'''Preferred Provider Organization (PPO)'''<br>		'''Preferred Provider Organization (PPO)'''<br>

-	<p>A Preferred Provider Organization is basically a group of doctors who negotiate discounts with insurers. Unlike HMOs, there may be no restrictions on seeing specialists; however, members pay higher costs if they see non-PPO physicians. These plans are regulated by the '''Department of ~~Insurance~~'''.</p><br>	+	<p>A Preferred Provider Organization is basically a group of doctors who negotiate discounts with insurers. Unlike HMOs, there may be no restrictions on seeing specialists; however, members pay higher costs if they see non-PPO physicians. These plans are regulated by the '''Department of Managed Health Care'''.</p><br>

Cicpbuchanan at 22:44, 30 May 2013

2013-05-30T22:44:59Z

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	'''Health Maintenance Organization (HMO)'''<br>		'''Health Maintenance Organization (HMO)'''<br>

-	<p>Members are restricted to seeing HMO physicians. Usually, doctor visits outside the plan are not covered. The patient's primary physician will control patient access to specialists. Doctors may be employed by the HMO or practice independently. HMO's are regulated by the '''Health ~~Services Division~~''' ~~under the Department of Corporations~~.</p><br>	+	<p>Members are restricted to seeing HMO physicians. Usually, doctor visits outside the plan are not covered. The patient's primary physician will control patient access to specialists. Doctors may be employed by the HMO or practice independently. HMO's are regulated by the '''Department of Managed Health Care'''.</p><br>

Cicjscribner at 17:03, 11 March 2011

2011-03-11T17:03:45Z

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Cicjscribner at 15:32, 4 October 2010

2010-10-04T15:32:00Z

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	'''Managed care health plans generally fall into three categories as follows:'''<br>		'''Managed care health plans generally fall into three categories as follows:'''<br>
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Cicjscribner at 23:44, 20 July 2010

2010-07-20T23:44:10Z

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	'''Managed care health plans generally fall into three categories as follows:'''<br>		'''Managed care health plans generally fall into three categories as follows:'''<br>

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	'''Health Maintenance Organization (HMO)'''<br>		'''Health Maintenance Organization (HMO)'''<br>

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HEALTH BENEFITS PROGRAM (TYPES)

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2010-07-20T23:43:48Z

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'''Managed care health plans generally fall into three categories as follows:''' 

'''Health Maintenance Organization (HMO)''' 

Members are restricted to seeing HMO physicians. Usually, doctor visits outside the plan are not covered. The patient's primary physician will control patient access to specialists. Doctors may be employed by the HMO or practice independently. HMO's are regulated by the '''Health Services Division''' under the Department of Corporations. 

'''Point-of-Service (POS)''' 

A Preferred Provider Organization is basically a group of doctors who negotiate discounts with insurers. Unlike HMO's, there may be no restrictions on seeing specialists; however, members pay higher costs if they see non-PPO physicians. These plans are regulated by the '''Department of Insurance'''. 

'''Preferred Provider Organization (PPO)''' 

A Preferred Provider Organization is basically a group of doctors who negotiate discounts with insurers. Unlike HMOs, there may be no restrictions on seeing specialists; however, members pay higher costs if they see non-PPO physicians. These plans are regulated by the '''Department of Insurance'''. 

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