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GROUP HEALTH PLANS
What types of group health insurance
plans are available?
Group
health insurance plans are categorized as either indemnity plans (also
known as "traditional indemnity," "fee-for-service,"
or "FFS" plans) or managed care plans. Indemnity and managed
care plans differ in their basic approach. Put broadly, the major differences
concern choice of providers, out-of-pocket costs for covered services,
and how bills are paid. You will typically have a broader choice of doctors
(including specialists, such as cardiologists and surgeons), hospitals,
and other health care providers with an indemnity plan while you will
typically have less out-of-pocket costs and paperwork with a managed care
plan.
Indemnity plans once dominated the American health insurance market, but
are no longer as popular as they used to be. They are most common on the
east coast. Managed care plans now take up a much larger share of the
general health insurance market and are especially dominant in the western
parts of the country. There are three basic types of managed care plans:
PPOs, HMOs, and POS plans.
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