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Managed Care Plans

Tuesday, March 30th, 2010

Insurance Plans
Managed care plans use networks of doctors, hospitals and other providers selected to provide comprehensive health services to plan members. In a health care plan administered generally you would have less paperwork and expenses out of pocket would be lower, but usually will be restricted in their choice to choose their doctors. In Texas there are two types of schemes managed health care, preferred provider organizations (PPO, for its acronym in English) and maintenance organizations (HMO, by its initials in English).

Insurance companies issuing PPOs. You can take your child to any doctor or provider you choose, even if the physician or provider is not in the PPO network, but the expense of his own pocket would be less if you use the network providers. PPOs typically require you to pay a monthly premium, coinsurance and copayment each time you receive medical care.

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