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Health insurance plans

Beloware Four types of managed care health insurance plans.  Many of theuninsured and underinsured in the U.S. subscribed to an HMO under the ACA.  Those who enrolled in healthcare insuranceplans through their employer subscribed to an EPO, PPO or POS.  

However,the American Academy of Family Physicians Foundation (AAFP) proposed analternative to ACA.  After reading the link below, Submit a 1-2 pagepaper outlining 3 distinct difference between the ACA and the AAFP’sproposed Primary Care Health Based System.

  • Exclusive Provider Organization (EPO): A managed care plan where services are covered only if you use doctors, specialists, or hospitals in the plans network (except in an emergency).
  • Health Maintenance Organization (HMO): A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won’t cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage. HMOs often provide integrated care and focus on prevention and wellness.
  • Point of Service (POS): A type of plan where you pay less if you use doctors, hospitals, and other health care providers that belong to the plans network. POS plans require you to get a referral from your primary care doctor in order to see a specialist.
  • Preferred Provider Organization (PPO): A type of health plan where you pay less if you use providers in the plans network. You can use doctors, hospitals, and providers outside of the network without a referral for an additional cost.

However,the American Academy of Family Physicians Foundation (AAFP) proposed analternative to ACA.  After reading the link below, Submit a 2 pagepaper outlining 3 distinct difference between the ACA and the AAFP’sproposed Primary Care Health Based System.

 

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