1. Traditional
i. Basic Coverage (In-patient service)
It Covers technical components
ii. Major Medical Plan (Out-patient service)
It Covers technical components
ii. Major Medical Plan (Out-patient service)
It Covers professional component
iii. Comprehensive Coverage (both In & Out patient service)
iii. Comprehensive Coverage (both In & Out patient service)
2. Managed Care
HMO (Health Maintenance
Organization) Patient must meet PCP. Then he will refer to a specialist.
Referral Authorization Number is essential.
POS (Point of Service)
After meeting the PCP Patient can choose specialist from the list of providers
. Out of Network Providers Covered.
PPO (Preferred Provider Organization) Directly patient can
go to the specialist. Out of Network Providers Not Covered.
EPO (Exclusive Provider
Organization) Except Emergency Cases Out of Network Providers Not Covered.
