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With indemnity dental plans, the insurance company generally pays the dentist a percentage of the cost of services. Restrictions may include the co-payment requirements, waiting period, stated deductible, annual limitations, graduated percentage scales based on the type of procedure, and the length of time that the policy has been owned.
The company currently offers traditional fee-for-service medical plan options with a preferred provider organization (PPO) along with a high deductible health plan (HDHP) that can be paired with a health savings account (HSA). On the dental side, GEHA offers two options under the Connection Dental Federal FEDVIP plan.
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 ...
PPO. The Preferred Provider Organization plan is the most popular for those with employment-based insurance (currently 47% of them, in fact). PPOs allow the most flexibility in that people can ...
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.
HMO plans also require a referral to see a specialist, but PPO plans do not. HMO plans do not usually offer out-of-network coverage. PPO plans may provide out-of-network coverage but at a higher cost.
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