What are the major types of consumer directed health ...

[big1devin]

What are the major types of consumer directed health plans?

Question 2

Compare and contrast the HMO, PPO, and POS models.

[cswans24]

Answer to Question 1

Flexible Spending Account, Health Reimbursement Arrangement, Health Savings Account

Answer to Question 2

In an HMO, patients have no choice in the physician or facility. In a PPO, patients receive care from a provider who can perform a procedure or provide a service in the most cost-effective manner. Providers agree to provide services to PPO patients at a discounted rate in return for the promise of a higher volume of patients. The patient has minimal out-of-pocket expenses. In a POS, the individual can use a care provider outside of the preferred network. Coverage for services rendered by an out-of-network provider is reimbursed at a lesser rate in keeping with the PPO model. The patient is responsible for paying the remaining charges and copays resulting from using a provider outside of the preferred group.