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| Health
Insurance |
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Health
Insurance Definitions |
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| Health
Insurance Definitions |
Health
Insurance
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| HMO |
Health
Maintenance Organization, gatekeeper
required with directory of physician
and hospitals for In-network benefits,
NO out-of-network benefits.
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| POS |
Point
of Service, gatekeeper required, with
directory of physician and hospitals
for In-network benefits, includes out-of-network
benefits after satisfaction of a deductible
and coinsurance.
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| POS
- Open Access |
Open Access - Same as POS above, however
no referrals are necessary to utilize
In-network specialists.
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| PPO |
Preferred
Provider Organization, NO gatekeeper
necessary, may go to any physician in
the network without a referral, includes
out-of-network benefits after satisfaction
of a deductible and coinsurance.
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| EPO |
Exclusive
Provider Organization, NO gatekeeper
or referrals required. In-network benefits
only. NO out-of-network benefits.
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If
you have additional questions please
e-mail us at info@filco.net
Thank you.
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