Jan. 9, 2013
Describe the similarities and differences among the major types of health plans. Do you believe any one plan offers greater financial or coverage benefits to either a consumer or a provider? Explain your answers.
These health plans have a lot of similarities and differences. Some of the similarities are the majority of these plans have low copayments, and very close coverage. The HMO and POS plans have lower copayments than some of the other plans and these plans cover the total cost of preventative care. Some of the plans allow you to go out of network and the other plans will not pay or cover unless it is in the network. The differences are that the plans cover different percentages and some plans do in network coverage and out of network coverage. The cost can be a big difference in the plans. The cost of treatments and deductibles are different as well. The percentage of coverage is different with each plan. There are plans that do not require for you to have a referral, but there are plans that do require them. Believe that each plan offers something for each provider and consumer. The plan that is best for one person may not be for the other person. There are different plans to help people that have different preferences. As the consumer you need to find the plan that is best for you and your finances. As the provider, the plans make money for the insurance companies on different levels, so with this in mine there is money being made on each plan by the consumer. Individuals that depend on going to the doctor a lot may want to consider having a plan that pays more and covers more. If the individual does not go to the doctor very often, then they may want to consider a plan that has a higher deducible and the monthly fees are smaller. This is why it is important to pick the best plan for yourself and know what this plan consist of.