Medical Plan Considerations
The following may be consideration when choosing a medical plan for you
and your family:
| |
PENNCare/Personal
Choice |
UPHS POS |
HMOs |
| |
Preferred Provider |
Non-Preferred Provider |
Referred |
Self-Referred |
| I have an established relationship with a doctor
who is not a provider in any of the PennChoice Plans and I want direct
access to this physician |
|
X |
|
X |
|
| My doctor is already a member of the HMO,
PENNCare/Personal Choice or UPHS POS Plan |
X |
|
X |
|
X |
| I want to choose my doctors and hospitals without
being limited to a network provider |
|
X |
|
X |
|
| My family and/or I visit the doctor for many
routine preventive care services |
X |
|
X |
|
X |
| I or someone in my family have scheduled a surgery
that requires hospitalization and I want to minimize my cost. |
X |
|
X |
|
X |
| I want to reduce my out-of-pocket costs, but
I am not sure I will like being in an HMO |
X |
|
X |
|
|
| I want to go to the hospital of my choice |
|
X |
|
X |
|
| I do not want to pay a lot for my insurance
because I don't use much healthcare |
|
|
X |
|
X |
| I do not want to file claim forms |
X |
|
X |
|
X |
| I do not have a physician and want help
finding one |
X |
|
X |
|
X |