The standard fee-for-service insurance policies provided by employers, organizations, or individuals. Usually the most expensive type, this insurance covers service from any provider
Entitlements
Government payments that are made through legislatively specified programs to individuals having certain designated characteristics and circumstances, such as age or need
Point of service plan (POS)
An open-access plan similar to an HMO that provides limited coverage for self-referral outside the network
Managed Care
A synonym for all kinds of integrated delivery systems, in contrast with unmanaged, fee-for-service care.
Health Maintenance Organization (HMO)
A prepaid organized delivery system where the organization and the primary care physicians assume some financial risk for the care provided to its enrolled members
Medigap insurance
Medicare supplemental insurance policies that are available through private companies
Preferred provider organization (PPO)
An entity that acts as a broker between the purchaser of care and the provider in which consumers have the option of using the preferred providers available with the plan or not
Capitation
A fixed amount periodically paid to a provider for delivery of services for each person covered under a contract or policy
Indemnity
The standard fee-for-service insurance policies provided by employers, organizations, or individuals. Usually the most expensive type, this insurance covers service from any provider
Entitlements
Government payments that are made through legislatively specified programs to individuals having certain designated characteristics and circumstances, such as age or need
