What Does PPO Mean?

Usually when there is a need for medical care the insured patient is faced with three choices. It is imperative that he understand the financial import of these choices before he makes his individual decision:

• We have already discussed above the first choice wherein the patient would act in accordance with the referrals of his primary care physician to a specialist. The concept of co-payment would be relevant here.
• Alternatively the patient can access his right to medical care vide the PPO provider, and the prevalent in-network PPO rules would cover the services provided. Here a coinsurance and a co-payment would be required wherein both the insured and the insurance company pay some portion of the medical costs.

• Thirdly, should the insured choose to avail of services outside the HMO and PPO channels, then the same would be covered under out- of- network rules, and co-payment and a higher coinsurance would have to be made.

What Is POS?

Rather than obtain referrals from primary care physicians, the HMO offers the insured patient the right to the concept of self direct care - a facility normally and commonly observed in indemnity plans. When a HMO offers this sort of "opt-out provision", then it is referred to as a POS or a Point of Service Plan. The client's decision on how to act further at this point of service would have a direct bearing on how this Plan would function.

Your health ought to be considered as one of your assets , in addition to being included as an important part of your lifestyle. Choosing the correct and affordable health insurance policy that is tailored to suit both your needs and your pocket could help cover the protection of both your asset and your lifestyle. A cheap health insurance policy, providing extensive coverage would be ideal. Considering that it provides you an adequate cover against unforeseen illness, hospitalization and medical office visits, your affordable health insurance policy ought to be chosen after much thought and comparison with the best in the market. After all, while we do agree that there is no substitute for good health, a sound and viable health insurance policy could only benefit us.

Related Articles

Medical insurance - Find out what it covers
Group Health Insurance - A perfect security for your job and health
Medical insurance Policies - What it is and how it works
Make your travel free even if you have inescapable expenses

Bookmark this page Email this to your Friend Add this page to del.icio.us