Managed Care - Health Insurance Definition
A Managed Care plan is simply
a program designed to oversee the health care
options available to a particular group. That
group may be united by a common employer or may
be simply a family. The idea sounds good, but
will it really work? In some cases, managed care
organizations provide an excellent program.
The biggest change that accompanies a managed
care plan is probably the fact that participants
are encouraged to stay healthy. With the goal
in mind, well baby check-ups and regular check-ups
for healthy adults are sometimes paid in full
- an incentive to catch problems while they’re
small. Medications by mail may be offered at a
significantly reduced rate to the consumer because
it’s less expensive for the insurance provider.
Flu shots and other vaccines may be offered at
no charge - another incentive to prevent illness.
The downside of a managed care plan is that you
may find that a particular service simply isn’t
part of the plan and therefore, isn’t covered.
It may even be something you consider basic.
You may find a managed care program that exactly
fits your needs. Consider the options and seek
out the advice of a respected Broker before you
decide this is - or isn’t - the right health
insurance plan for you. |