Advantages and Disadvantages of Managed Care Insurance

Managed health care is the predominant form of health care in the United States. Those of us who are lucky enough to have health insurance, whether we get it from our employers as a benefit, or if we pay for it out of our own pocket, will more than likely be getting it from a managed health care insurance provider. These providers, whether they are health maintenance organizations (HMOs), preferred provider organizations (PPOs), or point-of-service plans (POS), all come with their various pros and cons. Read on to learn more about the advantages and disadvantages of managed care insurance plans.

One of the advantages to being a member of a managed health care insurance program is the depth and breadth of your choices. If a PPO or HMO system, for example, is large enough, you could have your pick of some very talented doctors and renowned medical facilities. The coverage of your managed care network will be influenced by where you live. Members of a POS or other managed health care systems who live in Atlanta, for example, will be in a bigger network of medical professionals than those living in rural, sparsely populated northern Maine.

Additionally, managed health care insurance organizations create large groups of members, like yourself, which in turn lowers costs for everyone.

In terms of disadvantages, many people in managed care insurance programs complain about their lack of choice – even if they live in a large metropolitan area that has many excellent doctors in it. People who get their health care from managed care insurance programs also don’t like the rigidity of the process, and can easily feel like numbers being pushed through a big, complicated, and unfriendly system – especially if they have a condition which is going to cost the managed care insurance provider a lot of money.

To learn more about the advantages and disadvantages of managed care insurance, be sure to consult with a managed care insurance professional. If you get health insurance from your employer, you can also go over the details of your HMO, PPO, or POS plan with a member of your human resources department.

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