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Medical Plans
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Health Maintenance Organization (HMO)
The insurance plan centers
around a network of healthcare providers where
all non-emergency covered healthcare is delivered.
Most HMOs utilize the concept of Primary Care
Physicians, or Gate keepers
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Exclusive Provider Organization (EPO)
- Point
Of Service (POS)
An HMO plan that allows
a member to access healthcare outside of the HMO
network of contracted providers. The member is
given incentives to utilize contracted providers
through the fuller coverage offered for "in-network"
care
- Preferred
Provider Organization (PPO)
Under a PPO benefit plan,
covered individuals retain the freedom of choice
of providers but are given financial incentives
(i.e., lower out-of-pocket costs) to utilize the
preferred network provider
- Indemnity
- Open
Access - HMO and POS
- Dental
Plans
- Dental
Maintenance Organization Plans
- Indemnity
Plans
- Prepaid
- Voluntary
- Vision
Plans
- Indemnity
- Prepaid
- Prescription
Drug Plans
- Pharmacy
Drug Cards
- Mail
Order Programs
- Discount
Card Programs
- Carve-Out
Pharmacy Benefits
- Multiple
Funding Arrangements
- Self
Funded Plans (Participating)
- Administrative
Services Only Plans
- Minimum
Premium Plans
- Conventionally
Funded Plans
- Retro
Payment Plans
- Reinsurance
- Cafeteria
Plans
- Multi
Option Plans
- Defined
Contribution Plans
- Flexible
Spending Account
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