answersLogoWhite

0


Best Answer

Not sure about the first one.

A PPO is a Preferred Provider Organization. Usually, it works like this: The insurance company provides a list of health-care providers who are in its network. If you use one of them, you pay a nominal co-payment, much as you would with an HMO. The doctor agrees to accept whatever the insurance company gives him (or her). If you go OUTSIDE the network, however, you will have to pay a co-insurance, usually a percentage of the doctor's fee, subject to deductibles. So, if you go outside the network and the doctor or lab charges you $1000 and you have a 20-percent co-insurance, you're going to pay $200, assuming you've already met your deductible.

An HMO is a Health Maintenance Organization. When you go to the doctor, you pay a nominal co-payment. Your care is delivered within a group of connected providers, which is helpful if you are not able to keep track of various medications or condition (Medicare patients as an example). Typically, HMO is integrated and patient focused - PPO and other type networks can be fragmented where providers do not directly communicate with each other about the patient and care delivered. POS means Point of Service. It's just like going out of network in the PPO above.

User Avatar

Wiki User

โˆ™ 2010-11-03 18:35:46
This answer is:
User Avatar
Study guides

Nutrition

22 cards

If you were laid off and apply for insurance coverage on your wife's group policy do you have to answer a medical questionnaire

How many grams of cholesterol should you eat each day to maintain a healthy diet

What would cause a fluttering inside the ear canal

Why is beef fat a solid at room temperature

โžก๏ธ
See all cards
4.8
โ˜†โ˜…โ˜†โ˜…โ˜†โ˜…โ˜†โ˜…โ˜†โ˜…
5 Reviews

Add your answer:

Earn +20 pts
Q: What are the differences between EPO PPO POS and HMO insurance plans?
Write your answer...
Submit
Still have questions?
magnify glass
imp
Related questions

What is the Difference between and epo and hmo in insurance?

EPO stands for "Exclusive Provider Organization." EPO plans may or may not differ very much from HMO (Health Maintenance Organization) plans. It's sometimes hard to make precise distinctions between these types of health plans since the definitions have changed a bit over the years. Generally speaking, however, as a member of an EPO plan, you can only use the doctors and hospitals within the EPO provider network, but cannot go outside of the network for care. There are no out-of-network benefits. This may be the same with some HMO plans. But while an HMO plan will typically require you to coordinate most of your care through a primary care physician (who then refers you to specialists when needed), an EPO plan may allow you more freedom to decide which doctors you see within the provider network. Work with a licensed health insurance agent to help you find the best type of coverage for your needs.


What is epo health insurance?

The newest kind of health insurance coverage, an Exclusive Provider Organization, more commonly called an EPO requires you to choose an exclusive provider. This exclusive provider will take care of all of your health needs. epo health insurance?


What is the difference between an epo and ppo insurance plan?

EPO members do not receive any reimbursement or benefit if they choose to visit medical care providers outside of the designated doctors and hospitals within the established network. Unlike EPO members, however, PPO members are reimbursed for using medical care providers outside of the designated doctors and hospitals.


Whats the difference between and EPO and PPO?

What is oversight code?


Which ePO user can create and edit tags in ePO?

Global Administrator


Which ePO user listed below can create and edit tags in ePO?

Administrator


What is epo in sports?

EPO stands for Erythropoietin, EPO is a protein hormone produced by the kidney. In sports its being used to increases oxygen carrying capacity.


Which ePO component gathers the events from the managed systems and communicates them to the ePO server?

McAfee Agent


What ePO server task updates ePO distributed repositories from the master repository?

Pull Task


What characteristics does an abnormal erythropoietin test have?

Low levels of EPO are found in anemic patients with inadequate or absent production of erythropoietin. Severe kidney disease may decrease production of EPO, and congenital absence of EPO can occur. Elevated levels of EPO.


What port used to communicate between Tomcat and Web browser accessing Mcafee EPO?

HTTPS, 8005


What is The abbreviation for erythropoietin?

EPO

People also asked