What is the most popular managed care plan?

The most common type of managed care plan is the HMO. If you enroll in an HMO plan, you’ll need to pick a primary care provider who will direct all your healthcare needs and refer you to specialists when appropriate. A third type of managed care plan is the POS, which is a hybrid of an HMO and a PPO.

Is PPO fee-for-service?

Fee-for-Service (FFS) Plans with a Preferred Provider Organization (PPO) An FFS option that allows you to see medical providers who reduce their charges to the plan; you pay less money out-of-pocket when you use a PPO provider. In “PPO-only” options, you must use PPO providers to get benefits.

Is Humana a CareSource?

Humana Inc., one of the nation’s largest and most experienced Medicare companies, and CareSource, one of the most respected Medicaid companies in the U.S., are joining forces in a strategic alliance designed to enable both companies to more effectively serve Medicare and Medicaid beneficiaries – particularly people who …

What type of plan is CareSource?

CareSource is nationally recognized for leading the industry in providing member-centric health care coverage. The company’s managed care business model was founded in 1989 and today CareSource is one of the nation’s largest Medicaid managed care plans.

Is there copay with PPO?

In general, PPO plans tend to be more expensive than an HMO plan. If you choose a copay PPO plan, you will have to pay a copay (a fixed dollar amount) each time you visit a provider. Generally, a PPO plan with a copay has lower premiums than a comparable non-copay plan.

What is the difference between fee for service and managed care?

Under the FFS model, the state pays providers directly for each covered service received by a Medicaid beneficiary. Under managed care, the state pays a fee to a managed care plan for each person enrolled in the plan.