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7 pages/≈1925 words
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Management Option #2: Find the Right Insurance Plan (Research Paper Sample)


Option #2: Find the Right Insurance Plan
Part I
Each consumer of medical services has slightly different needs. Think about your own needs with regard to medical services and those of your family. Research the plan options that are available to you and choose a plan that best meets your needs. Create a chart that compares three (3) of the plan options and indicate which option you have chosen. Your chart should contain the following:
Plan features and characteristics (e.g., type, benefits, costs)
Visual indication of your chosen insurance plan
Part II
Write a 7-8 page description of your decision-making process. Your reflection should address the following questions:
What are the most important features that impacted your plan choice?
What difficulties did you face in choosing a plan?
Under what circumstances would your plan choice be different, and why?
Your paper must adhere to the following requirements:
Be written in accordance with the CSU-Global Guide to Writing and APA Requirements
Be 7-8 pages in length (not including the cover and reference pages); that is, approximately 3,000-3,500 words
Include headings, per APA guidelines
Include at least four (4) sources


Health Maintenance Organization (HMO)
Date of submission
Health Maintenance Organization (HMO)
The various healthcare insurance plans for patients` needs are either categorized as those that restrict provider choices or encourage the patients to receive the care for doctors, pharmacies, hospitals as well as other medical providers. In other cases, the insurance pays high costs for the providers that are outside the network of the plan. The examples of Medicare Advantage Plans available for clients include preferred provider Organization (PPO), Health Maintenance Organization (HMO) and Private Fee For Service (PFFS) among others. Some of the patients' needs may include the need for primary care, preventive care, and wellness or dental care. Therefore, the HMO is a Medicare Advantage plan or insurance plans that are offered by the private health entities under the approval of the Medicare. The HMO under the law is required to offer similar benefits of the Original Medicare besides other additional coverage such as dental benefits, health wellness programs and prescription drugs. Based on the need for dental care and the entire family wellness, the HMO is essentially crucial since it offers such plans besides providing accessibility to doctors, hospitals and other health care providers so long as one accepts Medicare.
Insurance Chart
Medicare Advantage PlanPreferred provider Organization Plan (PPO)Health Maintenance Organization (HMO)Private Fee For Service Plan (PFFS)Medicare Part A, Part B, Part C and Part DClients choose their own doctors, hospitals and other services within its networkClients receive care outside the network but with high out of pocket feeNo primary care provider as a requirement Clients choose their own doctors, hospitals and other services within its network under restricted guidelines.Clients may receive care outside the network but has full responsibility f

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