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A Quick
Guide to Understanding Some Medical Insurance Terms by Kerry Ng
Your employer just gave you a huge bundle of medical insurance information.
Before you let out a small moan and hurl the book to the furthest
corner of your desk, it might be a good idea to look it over and
see if you understand it fully. Keep in mind that this medical insurance
someday just might help save your life.
There are a few medical insurance terms that can cause confusion,
so here are some tips to help define and clarify some of the most
common terms that you'll come across in a normal health insurance
manual. Use this as a brief reference point, but be sure to refer
to your manual for further details.
Term # 1: Health Maintenance Organization (HMO)Health Maintenance
Organizations or HMOs are a form of popular group medical insurance.
In this design, a group of doctors, nurses, pharmacies, and other
medical professionals are hired by the medical insurance company
to provide health care to the people that are covered by the plan.
Usually the insured people must pick out a primary care physician
who coordinates all their care. An advantage of this system is that
it keeps cost regular and relatively low. However, there is little
room for flexibility.Term # 2: Preferred Provider Organization (PPO)This
type of medical insurance is somewhat similar to the HMO, but does
have a few marked differences. In this case, instead of the medical
professionals being hired by the insurance company, the company
enters into contracts with the doctors and other professionals to
offer Click here for the
rest.
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