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The insurance healthcaremanagment company establishes a network of providers that are contractually required to care for you. If the doctor, hospital or pharmacy is within the network, you make a small co-payment once you reach the deductible. If you go outside the network, there is usually a much higher deductible and only 80% of the "reasonable and customary" costs are covered (you pay the other 20% PPOs are more flexible than HMOs and you can choose to limit your medical costs by using doctors in the network.You healthcaremanagment don''t have as much healthcaremanagment choice as with indemnity plans and you don''t know your true costs in advance. Good candidates for PPOs: those who already have important doctor/patient relationships that they''re not willing to sacrifice by joining an HMO. Insurance companies hate indemnity plans. healthcaremanagment Good HMO candidates: people who are young and in good health (especially those planning to marry and/or start a family); families with children; older people (who tend to see doctors frequently, who don''t want to physically travel to different specialists and who like one-stop shopping); and those healthcaremanagment on a tight budget are all bad HMO candidates: healthcaremanagment People who can''t healthcaremanagment and healthcaremanagment or who are unwilling to give up medical relationships with doctors outside their HMO. Preferred provider healthcaremanagment organizations were established as a compromise between indemnity plans and HMOs. PPOs provide managed care but also meet consumer demand for control over whom you see healthcaremanagment and where you get your services. ©2003 www.eparamounthealthcare.com. All rights reserved. |