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There are
essentially two kinds of heath insurance: Fee-for-Service and Managed
Care. Although these plans differ, they both cover an array of medical,
surgical and hospital expenses. Most cover prescription drugs and some
also offer dental coverage.
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Fee-for-Service |
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These
plans generally assume that the medical professional will be paid a fee
for each service provided to the patient. Patients are seen by a doctor
of their choice and the claim is filed by either the medical provider or
the patient. |
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Managed Care |
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More than
half of all Americans have some kind of managed-care
plan. Various plans work differently and can include:
health maintenance organizations (HM0s), preferred
provider organizations (PPOs) and point-of-service (POS)
plans. These plans provide comprehensive health services
to their members and offer financial incentives to
patients who use the providers in the plan. |
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