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

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

    For many, health care plan abbreviations like HMO, PPO, EPO, and PPS are just alphabet soup. Doctors and Clinicians analyzed KFF data and resources from the Department of Health and Human Services ...

  3. 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 ...

  4. Exclusive provider organization - Wikipedia

    en.wikipedia.org/wiki/Exclusive_provider...

    In the United States, an exclusive provider organization (EPO) is a hybrid health insurance plan in which a primary care provider is not necessary, but health care providers must be seen within a predetermined network. Out-of-network care is not provided, and visits require pre-authorization.

  5. Managed care - Wikipedia

    en.wikipedia.org/wiki/Managed_care

    A POS plan uses some of the features of each of the above plans. Members of a POS plan do not make a choice about which system to use until the service is being used. In terms of using such a plan, a POS plan has levels of progressively higher patient financial participation, as the patient moves away from the more managed features of the plan.

  6. Consumer-driven healthcare - Wikipedia

    en.wikipedia.org/wiki/Consumer-driven_healthcare

    CDHPs cannot effectively decrease health care costs without the ability for consumers to compare prices prior to use. [ 31 ] [ 32 ] While cost-estimator tools have become available as part of a broad trend towards consumer-driven health technology in the United States , they often do not use actual negotiated rates and lack quality information ...

  7. Health maintenance organization - Wikipedia

    en.wikipedia.org/wiki/Health_maintenance...

    Unlike traditional indemnity insurance, an HMO covers care rendered by those doctors and other professionals who have agreed by contract to treat patients in accordance with the HMO's guidelines and restrictions in exchange for a steady stream of customers. HMOs cover emergency care regardless of the health care provider's contracted status.

  8. Health insurance in the United States - Wikipedia

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

    Blue Cross Blue Shield insurers offer some form of health insurance coverage in every U.S. state, and also act as administrators of Medicare in many states or regions of the United States, and provide coverage to state government employees as well as to federal government employees under a nationwide option of the Federal Employees Health ...

  9. Difference in conditions insurance - AOL

    www.aol.com/finance/difference-conditions...

    A difference in conditions policy is an insurance policy that can help provide additional and expanded coverage for your home or business if you live in a region that sees regular disasters.