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  2. Point of service plan - Wikipedia

    en.wikipedia.org/wiki/Point_of_service_plan

    A point of service plan is a type of managed care health insurance plan in the United States. It combines characteristics of the health maintenance organization (HMO) and the preferred provider organization (PPO). [1] The POS is based on a managed care foundation—lower medical costs in exchange for more limited choice. But POS health ...

  3. From PPO to HMO, what's the difference between the 5 most ...

    www.aol.com/news/ppo-hmo-whats-difference...

    Bronze plans usually have the lowest premiums but come with a high deductible—the amount consumers pay out of pocket before insurance kicks in. Bronze plans cover around 60% of medical bills ...

  4. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Instead, this amount would be the patient's responsibility to pay, and subsequent charges would also be the patient's responsibility, until his or her expenses totaled $500.00. At that point, the deductible is met, and the insurance would issue payment for future services. A coinsurance is a percentage of the allowed amount that the patient ...

  5. Managed care - Wikipedia

    en.wikipedia.org/wiki/Managed_care

    The deductible must be paid in full before any benefits are provided. After the deductible is met, the coinsurance benefits apply. If the PPO plan is an 80% coinsurance plan with a $1,000 deductible, the patient pays 100% of the allowed provider fee up to $1,000. The insurer will pay 80% of the other fees, and the patient will pay the remaining ...

  6. What’s the Difference Between an HMO and a PPO? - AOL

    www.aol.com/news/difference-between-hmo-ppo...

    Everything you need to know in the HMO vs PPO health insurance plan decision, like their main differences and who each plan is best for. Skip to main content. Sign in. Mail. 24/7 Help. For premium ...

  7. PPO and HMO Medicare Advantage plans: What to know - AOL

    www.aol.com/lifestyle/difference-between-hmo-ppo...

    An HMO Point-of-Service (HMO-POS) plan is a type of HMO plan. With an HMO-POS plan, an individual must choose a PCP, but they can use out-of-network services at a higher cost, similar to a PPO plan.

  8. Preferred provider organization - Wikipedia

    en.wikipedia.org/wiki/Preferred_provider...

    In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...

  9. Health insurance in the United States - Wikipedia

    en.wikipedia.org/wiki/Health_insurance_in_the...

    A survey issued in 2009 by America's Health Insurance Plans found that patients going to out-of-network providers are sometimes charged extremely high fees. [117] [118] Network-based plans may be either closed or open. With a closed network, enrollees' expenses are generally only covered when they go to network providers.