3 Types of Healthcare Insurance Plans

Healthcare services are tied together into a singular economic system that provide access to care for the general public. Families and small businesses should consider getting health insurance to relieve themselves from the stress of having to pay from out of pocket. Three types of insurance plans impact how care is being provided to employees and their dependents.

Health Maintenance Organization Plan

Several insurance companies operate as health maintenance organizations. They provide affordable coverage with lower premiums and usually don’t charge their customers deductibles. However, they provide limited flexibility in the choice of hospitals compared to other plans. There is a smaller network of clinics and physicians people can choose from with an HMO, so customers may have to drive additional miles to the closest healthcare facility available.

Preferred Provider Organization Plan

Similar to HMOs, preferred provider organizations offer a limited network of physicians that customers can choose. They aren’t required to visit one specific physician for each appointment, but usually must pay an annual deductible and face the possibility of paying for doctors out of network on their own. They usually provide Medicare-based prescription drug coverage, based on a list of drugs found in reference books that discuss clinical pharmacology Lehigh Acres FL in detail.

Exclusive Provider Organization Plan

Compared to the PPO, an exclusive provider organization is more ideal for customers who require a specific kind of medical treatment and are willing to pay from their own pocket. They provide lower premiums but charge higher deductibles. Unlike HMOs, patients are allowed to choose specialists in addition to their primary care provider as long as they’re in-network.

All insurance plans offer coverage for hospitalization and pharmaceutical care, but largely differ in their scope and pricing to accommodate subscribers based on their daily schedules and net income. Customers don’t share the same set of needs when it comes to healthcare. People usually must cope with different conditions with medication and diagnostic care.