Network providers: article Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Visit HealthCare.gov

A

see-plans to compare Marketplace plans and estimated prices before you
enroll. When you compare plans, you can search for your doctors and health care facilities. You’ll also be able to check if each plan includes your doctors and
facilities in its network

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2
Q

PPOs- preferred Providers Org

A

You pay less if you use providers in the plan’s network. For an additional cost, you can use doctors, hospitals, and providers outside of the network without a referral.

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3
Q

POS- point of service plan

A

you pay less if you use doctors, hospitals, and other health care providers that belong to the plan’s network. You’re required to get referrals from your primary care doctor to see specialists

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4
Q

Health Maintenance Organizations (HMOs)

A

You’re usually limited to care from doctors who work for or contract with the HMO and aren’t covered for out-of-network care (except in an emergency). You may be required to live or work in the HMO’s service area to be eligible for coverage.

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5
Q

Exclusive Provider Organizations (EPOs):

A

Exclusive Provider Organizations (EPOs): You’re only covered if you use doctors, specialists, or hospitals in the plan’s network (except in an emergency.)

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