Hi! Thanks for the question.
Here are the features, benefits or advantages of HMOs, PPOs and POS.
HMO:
?Low out-of-pocket costs?
??HMO members pay a fixed monthly fee, regardless of how much medical
care is needed in a given month. Instead of deductibles, HMOs often
have nominal co-payments.?
?Focus on wellness and preventative care?
?By reducing out-of-pocket costs and paperwork, HMOs encourage members
to seek medical treatment early, before health problems become
severe.?
?Typically no lifetime maximum payout?
?Unlike most health insurance plans, HMOs generally do not place a
limit on your lifetime benefits. The HMO will continue to cover your
treatment as long as you are a member.?
PPO:
?Free choice of healthcare provider?
?PPO members are not required to seek care from PPO physicians.
However, there is generally strong financial incentive to do so.?
?Out-of-pocket costs generally limited?
?Healthcare costs paid out of your own pocket (e.g., deductibles and
co-payments) are limited. Typically, out-of-pocket costs for network
care are limited to $1,200 for individuals and $2,100 for families.?
POS:
?Maximum freedom?
?POS coverage allows you to maximize your freedom of choice. Like a
PPO, you can mix the types of care you receive.?
?Minimal co-payment?
?As with HMO coverage, you pay only a nominal amount for network care.
Usually, your co-payment is around $10 per treatment or office visit.?
?No deductible?
?When you choose to use network providers, there is generally no deductible.?
?No "gatekeeper" for non-network care?
?If you choose to go outside the POS network for treatment, you are
free to see any doctor or specialist you choose without first
consulting your primary care physician (PCP).?
?Out-of-pocket costs limited?
?Healthcare costs paid out of your own pocket (i.e., deductibles and
co-payments) are typically limited.?
?HMOs, PPO & POS Plans?
http://www.agencyinfo.net/iv/medical/types/hmo-ppo-pos.htm
Here are other links to articles discussing advantages and even
disadvantages among the different types of health insurance plans.
HMO ? ?Low co-payments, minimal paperwork, and coverage for some
preventive-care and health-improvement programs?
POS ? ?You may visit a doctor outside the network and still receive
coverage; but substantially less than if you stayed within your
network.?
?Offer more preventive care and well-being services, such as workshops
on smoking cessation and discounts to health clubs.?
PPO ? ?The standard co-payment is $10 for a routine office visit
during regular hours.?
?You may go to any specialist without permission, as long as the
doctor participates in the network.?
?Affordable Healthcare: HMO PPO POS FFS Definitions?
http://www.website101.com/Health_Insurance/Affordable-healthcare.htm
?Quick View Comparison Chart for HMO, POS and PPO/Indemnity Plans?
http://www.nextelevation.com/Help/compare.htm
?Evaluating Your Health Insurance Plan?
http://www.cliffsnotes.com/productSamples/8514-2.html
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What is CORBA?
?COBRA is a law that requires employers with 20 or more employees to
let employees and their dependents keep their group health coverage
for a time after they leave their group health plan under certain
conditions. This is called continuation coverage. You may have this
right if you lose your job or have your working hours reduced, or if
you are covered under your spouse's plan and your spouse dies or you
get divorced. COBRA generally lets you and your dependents stay in
your group health plan for 18 months (or up to 29 or 36 months in some
cases), but you may have to pay both your share and the employer's
share of the premium. Some state's laws require employers with less
than 20 employees to let you keep your group health coverage for a
time, but you should check with your State Department of Insurance to
make sure. In most situations that give you COBRA rights, other than a
divorce, you should get a notice from your benefits administrator. If
you don't get a notice, or if you get divorced, you should call your
benefits administrator as soon as possible.?
?COBRA and Medicare, who pays first? Questions and Answers?
http://www.cobrahealth.com/medicare.htm
One of our links above provides some features of CORBA.
?COBRA can furnish excellent short-term coverage, bridging the gap
until you find a new job with health coverage or another policy
elsewhere.?
?You have 60 days from the date of group coverage termination to
decide whether to enroll in COBRA. If you choose to do so, the
coverage effective date is retroactive to the date the group plan
ended. You then have 45 days from the date you choose to enroll in
CORBA to make your first premium payment. When your coverage under
COBRA runs out, you may convert your plan as described in the previous
section.?
?Evaluating Your Health Insurance Plan?
http://www.cliffsnotes.com/productSamples/8514-2.html
Search terms used:
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I hope these links would help you in your research. Before rating this
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Easterangel-ga
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