2. Private health insurance Comparison of plans and providers In the United States, private health insurance plans can be written as group or individual plans, or as Indemnity or managed care plans. Comparing Private Insurance Plans Alison purchases health insurance coverage for herself and her spouse. This is an example of Indemnity, or fee-for-service, plans and managed care plans cover medical expenses if you are sick or injured, but in different ways. The following questions examine the general differences between the two plans. Taking a closer look at how these plans provide coverage will help you begin to customize a health care plan that best suits your requirements. Select the plan that most closely matches each given description. Out-of-pocket costs generally include the plan's deductible and 20% of the plan's covered medical expenses Insureds are subject to an annual deductible More likely to cover preventative and routine care Usually lower premiums The premium represents a prepayment for one's own health care insurance plan. Select the type of plan to which each statement most closely aligns. Indemnity plan O O Managed care plan O Now that you've taken a closer look at the differences between these types of plans, consider the following statements. Each indicates common preferences and situations. Select the type of plan to which each statement most closely aligns. My family history strongly suggests 111 suffer serious and perhaps unique illnesses as I age. I believe prevention is the best medicine. I prefer the flexibility of increasing or decreasing the size of my deductible to influence the cost of my health care insurance. Identify the particular form of private health care organization or plan described by the following three clues. There are several types of managed care plans, including group health maintenance organizations (group HMOS), individual practice associations HMO (IPA HMOS) preferred provider organizations (PPOS), exclusive provider organizations (EPOS), and point-of-service (POS) plans. Deciding which particular type of practice would best meet your needs requires knowing the major characteristics of each. If I want my plan to exhibit these characteristics, then I should purchase Indemnity plan Clue #1: 11 see all of the doctors and medical professionals in my plan by visiting them at a central facility. Clue #2: To receive the covered medical services, I'll pay a monthly fee and a small copay for each visit to the doctor or prescription. Clue #3: Many of these plans now allow me to obtain medical services from doctors or facilities located outside my plan's geographic area. an IPA HMO Managed care plan an EPO O a group HMO O a POS plan In the United States, private health insurance plans can be written as group or individual plans, or as indemnity or managed care plans. Comparing Private Insurance Plans Alison purchases health insurance coverage for herself and her spouse. This is an example of Indemnity, or fee-for-service, plans and managed care plans cover medical expenses if you as an individuals, but in different ways. The following questions examine the general differences between the two plans. a group Taking a closer look at how these plans provide coverage will help you begin to customize a health care plan that best suits your requirements. Select the plan that most closely matches each given description. Out-of-pocket costs generally include the plan's deductible and 20% of the plan's covered medical expenses Insureds are subject to an annual deductible More likely to cover preventative and routine care Usually lower premiums The premium represents a prepayment for one's own health care insurance plan. Indemnity plan Managed care plan Now that you've taken a closer look at the differences between these types of plans, consider the following statements. Each indicates common preferences and situations