Hi all we are discussing Managed Care plans in my current course, - TopicsExpress

Hi all we are discussing Managed Care plans in my current course, these plans are very tricky and if proper channels are not follow your claim will not be paid. As health care consumers if you have manage care plans that are (HMO) Health Maintantience Plan or (POS) Point of Service Plan, you are also responsible like your health care provider and or health care organization to make sure they are contracted for the health care services and or products that you need. Examples of things that you need to be attentive to in dealing with the plans are pre-authorizations, and ensuring you choose providers that are part of your Manage care plan(This is one of the many disadvantages of these plan you cannot be to selective) Dianna Edwards AAHA, BSHA, MHA, DHA

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