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There are
essentially two
kinds of heath
insurance:
Fee-for-Service and
Managed Care.
Although these plans
differ, they both
cover an array of
medical, surgical
and hospital
expenses. Most cover
prescription drugs
and some also offer
dental coverage.
Fee-for-Service
These plans
generally assume
that the medical
professional will be
paid a fee for each
service provided to
the patient.
Patients are seen by
a doctor of their
choice and the claim
is filed by either
the medical provider
or the patient.
Managed Care
More than half of
all Americans have
some kind of
managed-care plan.
Various plans work
differently and can
include: health
maintenance
organizations
(HM0s), preferred
provider
organizations (PPOs)
and point-of-service
(POS) plans. These
plans provide
comprehensive health
services to their
members and offer
financial incentives
to patients who use
the providers in the
plan.
Source
© Insurance Information
Institute, Inc.
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