Question

Which type of health insurance plan is not considered a managed care plan?

Answer 1

Answer:

Traditional

Explanation:

Managed health care plans are health insurance plans. Certain health insurance providers team up with hospital and medical facilities also known as health care providers so that they can provide medical services to people at a very reduced price and rate.

Managed health care plan can be used as a substitute for traditional health care plan due to the reduced price and rate they provide for their members.

Examples of these Managed health care plans are :

a) Health Maintenance Organization (HMO): This is a type of health insurance plan that employers of labour in a organisation provide for their employees. It helps to provide health care services at a reduced cost and rate. HMO plans are restricted and has a very low flexibility because the medical facilities you can use has already been chosen for you.

b)Preferred Provider Organization (PPO): This is an health insurance plan that reduces the cost of medical services provided to employees in an organization. It is quite similar to the HMO plan. The only difference is that it is not restricted to a particular medical facility or a particular doctor. In this plan you can choose the doctor that you would like to attend to you. It is a flexible plan. A member can choose between a medical facility (or doctor) in the Preferred Provider Organization or a medical facility (or doctor )outside the organization. The Preferred Provider Organization would cover the cost.

c)Exclusive Provider Organization (EPO): This is an health insurance plan that people who choose this plan or employees in an organization can make use of any health care provider or medical facilities in this organization. If any person makes use of health services from any health provider that is not linked to Exclusive Provider Organization, such a person who have to cover such expenses or fees from their own pocket.

d) Point of Service Plan (POS): This is an health care insurance plan whereby the person using this plan if or when sick has to contact a Doctor in the Point of Service network first , agree on the cost or price of the service at a discount rate before proceeding to choose the service in the point of service plan that is best suited for them and would benefit them the most.

Answer 2

Answer:

Traditional is not considered a managed care plan

Explanation:

Traditional is not considered a managed care plan because its a form of health insurance that only pays for part of your healthcare, it's also called fee-for-service-plan while managed health care plans have contract with health providers to provide care ti members at a reduced cost. The health care providers make up the plan network and they have network rules.

There are three types of managed health care and they are:

▪Preferred Provider Organization (PPO)

▪Health Maintenance Organization (HMO)

▪Point Of Service (POS) plan.