Choosing the best health plan for patient care is one of the most difficult decisions for some patients and their families because of the fine line distinguishing which plan suits them best. However, every plan is designed to suit a patient according to the kind of treatment they need, the cost of the treatment and the insurance covering every kind of treatment plan. Therefore, there are three main kinds of treatment plans that are offered in general, namely, HMO, PPO, and POS (Web MD, 2016). There are fine differences between the three, based on the need of primary physician ...
Health Maintenance Organization College Essays Samples For Students
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Introduction
Health insurance is a complex marketplace. It is not always easy for a common man to understand all the clauses of a typical health insurance plan. That is why often people are either not covered fully or end up paying a very high premium for the basic coverage. This essay will explore various health plans available in the market and then recommend health plan options to a family of four. This essay will then further inspect the expected changes due to the implementation of Affordable Care Act in 2014.
Research of Various Insurance Offerings
There are many types of insurance plans available in the market. The Preferred Provider Organization ( ...
HMO Plan
Currently I have an HMO health insurance coverage plan. HMO is an abbreviation of Health Maintenance Organization. An HMO offers managed care for healthcare insurance, self-funded health benefits plans, individuals, and other entities in US and closely operates with healthcare providers including hospitals and doctors on a prepaid basis. According to the Health Maintenance Organization Act of 1973 (as cited in Sautter, 2014, p.na), employers with 25 or more employees are required to provide federally certified HMO options if the employer deals with traditional healthcare plans. As reported in Obama Care Facts (n.d.), it is interesting to note that an ...
Health maintenance organization is a kind of managed health insurance or healthcare whereby the insured individuals only doctors, physicians and specialists who are part of a network. This paper seeks to focus issues that arise because of managing health maintenance organizations (Ehealthinsurance.com, 2014). The need to read this paper is to have a clearer idea of what the program concerns. Health maintenance organizations have participated in a major role of maintaining a higher standard of healthy living for the society. We will embark on their benefits and demerits, the challenges associated, and their recommendations.
- Benefits of Health Maintenance Organizations:
- Healthcare ...
Insurance is a vital aspect and an extensive industry in the market. Its main function is to protect against future risks and losses for instance accidents, fire, floods, disability; health related issues, as well as death. It can also be detailed as a financial protection against any risks that may arise in an uncertain future. The insurance industry is wide and covers various areas of the economy for instance transport, health and even businesses among others. Traditionally, insurance has been characterized as covering two types of risk. The first is pure risk, which is one that has only a single chance of ...