CheckPoint: Features of Health Plans
When looking at the similarities and differences of these plans, it was hard to determine which plan was best. For me, I like the idea of having an Indemnity Plan, This allows me to have any provider I want, Have little to no cost, even though I might need pre-authorization for some procedures that fine, I understand that it comes with higher costs but they have deductibles, coinsurance that can help with the high cost, and I can understand that preventive care isn’t covered but that is where an HMO(coinsurance) can help. They cover preventive care and have low copayments.
They are all the same in that they are all likely to have pre-authorization for some procedures for the insurance company to pay. Most are low to no cost to the patients. Also they mostly all have little to no co-payments.
They differ In that some require that you must pay until the deductible is met, this can become costly for those on a budge. People with a PPO or a Customer-driven Plan are like the others in that they have a high deductible and others are low to no deductible like the Indemnity plan and the HMO.
Some require you to have a specific providers in your area, like POS and if you do its costly. Whereas, Indemnity Plan you can have any provider you want. This to me is best, because it is nice having a doctor you’re comfortable with. POS allows you to have both in and out of network providers but out of area costs more than those who are in the indemnity plan which is little to no cost to the patient.
HMO’s are nice in that you can see some doctors but the down side is that if you need to see a specialist you have to have a referral to do so. This can become a stressful situation at times, but with the PPO there is no need for a