Respuesta :
Plans of all or some of the following categories are available at each metal level (Bronze, Silver, Gold, and Platinum), depending on how many are available in your location.
In the realm of medical administration, committees help to delegate some tasks and enable field input into procedure, policy, or even the case-specific interpretation of current policy. The following committees are examples of committees: peer review committee, utilization review committee, medical advisory committee, and credentialing committee.
Exclusive Provider Organization (EPO): A managed care program where treatments are only covered if you utilize hospitals, medical centers, or specialists in the program's network (except in an emergency).
Health Maintenance Organization (HMO): A form of health insurance policy that often restricts coverage to medical services provided by physicians who are employed by or under contract with the HMO. Except in cases of emergency, it often won't pay for out-of-network treatment. You might need to reside or work within an HMO's service region to qualify for coverage. HMOs frequently focus on wellness and prevention and offer integrated care.
Point of Service (POS): A kind of health insurance where you pay less if you utilize participating hospitals, physicians, and other healthcare providers. In order to see a specialist under POS plans, you must obtain a recommendation from your primary care physician.
Preferred Provider Organization (PPO): A form of medical insurance where you pay less if you utilize doctors and hospitals in the network of the plan. Without a reference and at a higher fee, you can use medical facilities, hospitals, and other providers outside the network.
Learn more about Point of Service (POS), here
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