What you need to know about managed care before you choose your health insurance

Every year you have to make the same tough decision, choosing your health insurance. It is so complicated that the terms are mostly unintelligible, and then you need to understand what managed care is. It is not easy or fun. At San Marcos Insurance Group in Chandler, AZ, we want to make this decision easier for you. Our experienced team is here to help with information and advice. 

These days, most healthcare is managed, at least to some degree. There are three basic types of health policies offered: HMO. PPO and PPS. They are all a little different in how they approach management, and it is vital that you understand what you can expect from each. The network is those providers who have contracted to work with the carrier. 

HMO (Health Maintenance Organizations)

With an HMO, you will have to choose a primary care physician in charge of your care. Usually, it would be best to use providers within the network, except in the case of an emergency. 

PPO (Preferred Providers Organizations)

If you are considering a PPO, you will have more flexibility regarding your choice of providers. You don’t need to choose a primary care physician, and if your provider is outside of the network, you may pay a higher fee for service, but you can go outside the network.  

POS (Point of Service)

A POS plan is a combination of an HMO and a PPO. You choose a primary care physician from within the network, but you are allowed to get care outside of the network for a higher charge. It will be the same if you are sent to that care by a referral from your primary care. 

In Chandler, AZ,  you can count on San Marcos Insurance Group to be there with the help you need. Call us for a no-obligation quote.