Comparing Health Insurance Options
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Health plan vs. health
insurance
In the United States, HMOs tended to use the term "health plan",
while commercial insurance companies used the term "health insurance".
A health plan can also refer to a subscription-based medical care
arrangement offered through HMOs, preferred provider organizations (PPOs),
or point of service plans. These plans are a lot like pre-paid
dental, pre-paid legal, and pre-paid vision plans. Pre-paid health
plans typically pay for a fixed number of services (for instance, $500
in preventive care, a certain number of days of hospice care or care in
a skilled nursing facility, a fixed number of home health visits, a
fixed number of spinal manipulation charges, etc.). The covered
services offered are usually at the discretion of a utilization review
nurse who is often contracted through the managed care entity providing
the subscription health plan. This determination may be made either
prior to or after hospital admission.
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