What Do I Need To Know About Managed Care Insurance: HMO, PPO, & And POS Plans?
An HMO provides comprehensive health services to its members for a prepaid fixed fee, equivalent to an insurance premium. A PPO differs from an HMO in that the PPO has no separate physical facility in which to see patients. Patients visit their family physician and community hospital as they normally would, and if these service providers have contracts with the PPO, services will be paid for by the PPO at the contracted rates.
Popular Insurance Questions
Popular Insurance Glossary Terms
End of a sales presentation designed to prompt the prospect to purchase the insurance product. ...
Proportion of an insurance company's total surplus at the end of each year's operation that is distributed to policy owners of participating life insurance policies. ...
Number of individuals exposed to the risk of illness, sickness, and disease at each age, and the actual number of individuals who incurred an illness, sickness, and disease at each age. ...
Same as term Close Corporation Plan: prior arrangement for surviving stockholders to purchase shares of a deceased stockholder according to a predetermined formula for setting the value of ...
Method of terminating a split dollar life insurance policy in which the company transfers its interest in the life insurance policy to the insured employee. Through such a transfer, the ...
Provision for coverage for buildings and personal property within the simplified commercial lines portfolio policy (sclp). The buildings and personal property coverage may be classified in ...
act that prohibits employers from requiring employees to retire at age 70. Also, the act prohibits EMPLOYEE BENEFIT PLANS from discriminating against employees in the 40 to 70 age group ...
Same as term Fortuitous Loss: loss occurring by accident or chance, not by anyone's intention. Insurance policies provide coverage against losses that occur only on a chance basis, where ...
Insurance company whose premium rates are usually below that of other insurance companies and the rating bureau. ...
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