Individual Medical Expense Plans and Managed Care
Most individual medical expense plans sold today are managed care plans. Managed care is a generic term for medical expense plans that provide covered medical services to the members in a cost-effective manner. Cost control is heavily emphasized, and the policyholder’s choice of physicians and other healthcare providers may be limited to physicians, hospitals, and other healthcare providers that are in the plan network.
There are different types of managed care plans. The most popular plan today is a preferred provider organization (PPO). A PPO is a plan that contracts with physicians, hospitals, and other healthcare providers to provide covered medical services to policyholders at discounted ...
Get Principles of Risk Management and Insurance, 13th Edition now with the O’Reilly learning platform.
O’Reilly members experience books, live events, courses curated by job role, and more from O’Reilly and nearly 200 top publishers.
