The type of plan you have determines your access to health care providers and how much you will pay out of your own pocket each time you receive care.
Madison, Wisconsin (PRWEB) November 19, 2011
The term “provider network” is one of the most basic and important concepts for health care consumers to understand. That’s why WPS Health Insurance, Wisconsin’s leading not-for-profit health insurer and provider of affordable group and individual health insurance has released a new article explaining provider networks in the context of today’s three most popular managed care plans: the health maintenance organization (HMO), preferred provider organization (PPO), and point-of-service (POS) plan.
“Provider networks are made up of doctors, clinics, hospitals, and other health care professionals that a health plan contracts with to offer medical services to members at reduced costs,” said Tom Olson, senior vice president of sales and marketing at WPS Health Insurance. “They are important because the plan you have determines your access to medical providers and how much you will pay out of your own pocket each time you receive care.”
For example, some health plans require members to receive care only from providers within their networks; others allow members to choose any doctor or hospital they wish, but will pay a greater portion of the costs when care is received from providers within the network.
“Our latest ‘Health Insurance 101’ article helps to clarify the differences between the three main types of managed care plans,” says Olson. “We hope health care consumers find it a valuable resource for helping them to decide which type of plan is right for them.”
The full ‘Health Insurance 101’ article is available today for free at the WPS Health Insurance Web site.
WPS encourages health care consumers who have questions about provider networks, or any other health-insurance-related questions, to call 1-888-245-4197 and talk with a friendly WPS representative today.
About WPS Health Insurance
Founded in 1946, WPS Health Insurance is Wisconsin’s leading not-for-profit health insurer, offering affordable individual health insurance, family health insurance, high-deductible health plans, and short-term health insurance, as well as flexible and affordable group plans and cost-effective benefit plan administration for businesses. In addition, the WPS Medicare division administers Part A and B benefits for millions of seniors in multiple states, and the WPS TRICARE division serves millions more members of the U.S. military and their families. For more information about WPS Health Insurance, visit http://www.wpsic.com.