Question

What are the three types of MCOs?

Answer 1

MCO's is defined as Managed Care Organization which is a type of healthcare delivery system which is organized to manage cost, it's utilization and quality. These organization have agreements with certain doctors, hospitals and healthcare providers to provide care to the people at affordable cost.

The main three types of MCO's are as follows:-

1. HEALTH MAINTENANCE ORGANIZATION:- Also known as HMO, they offer a patients a range of health benefits including preventive care for a set monthly fees. In this Primary Care Physician is responsible for indiviual's general health care and providing referrrals in case if necessary. HMO's generally provide preventive care such as well baby clinic, immunization, lab tests at lower out of pocket costs to you.
2. PREFERRED PROVIDER ORGANIZATION:- PPO is similar to that of HMO in which indiviual pays a fixed fee for treatment and co- payments when they visit the physician. PPO generally covers expenses with smaller percentage if a client seeks or want to take treatment from outside of plan.
3. POINT OF SERVICES:- POS is another type of managed care organization in which health care is provided at lower cost even it is lower than HMO and PPO. In this if the client wants to referr itself outside of the plan the point of service plan covers all or most of the bill costs. Client will have to pay only small percentage of bill.