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Health Insurance
Indemnity & Managed Care Health Plans from Global Indemnity in New Jersey
HEALTH PLANS IN THE NEW JERSEY AREA
Indemnity insurance is the most traditional form of health insurance. It is also called "fee for service" coverage. It typically allows an insured to use any hospital or doctor of his/her choice. Indemnity plans require an insured to pay a pre-determined portion of the medical expenses through deductibles and coinsurance. First, an insured must pay a pre-determined portion of the medical expense up front. This is called the deductible. Next an insured will pay another pre-determined portion of the medical expenses up to a preset limit. This is the coinsurance. Once the deductible and the coinsurance 1requirements are met, the insurance company will pay all remaining covered medical expenses. Lastly, the insured pays the health care provider directly and is reimbursed by the insurance company.
MANAGED CARE PLANS IN THE NEW JERSEY AREA
There are several types of managed care plans, all of which use established networks of health care providers hospitals, doctors, specialists, laboratories, pharmacies, etc.). Under these plans, network providers agree to provide health care service for a negotiated price.
NJ PPO Health Insurance NJ POS Health Insurance NJ POS Open Acces Health Insurance NJ HMO Health Insurance
Services
Available to New Jersey Customers from Global Indemnity
Preffered Provider Organization (PPO)
This plan has the broadest network of providers and the fewest restrictions of all managed care plans. For example, an insured may seek care from a network provider without prior authorization. There is no need for a primary care physician (PCP) to coordinate care. When an insured uses a network provider there is a pre-negotiated reimbursement, called a copayment, for all medical care. If an insured chooses a non-network provider, he/she will incur a larger portion of the cost.
Point of Service (POS)
This plan offers a wide choice of network providers. Under this plan an insured may choose a primary care physician (PCP). This PCP controls access to the rest of the network. For example when an insured needs specialist care, he/she must first seek care from a PCP. Furthermore, when an insured uses this PCP there is a pre-negotiated reimbursement or copayment for all medical care. When an insured chooses a non-network provider, he/she will incur a larger portion of the cost.
Point of Service With Open Access (POS)
This plan offers a wide array of network providers. Under this plan an insured may choose a primary care physician (PCP) but he/she does not need a referral when in need of specialist care. The PCP does not control access to the rest of the network. For example, when an insured requires care from a specialist, he/she may go to the specialist at any time. When an insured uses this PCP there is a pre-negotiated reimbursement or copayment for all medical care. When an insured chooses a non-network provider, he/she will incur a larger portion of the cost.
Health Maintenance Organization (HMO)
This plan offers a wide array of network providers. Under this plan an insured may choose a primary care physician (PCP) but he/she does not need a referral when in need of specialist care. The PCP does not control access to the rest of the network. For example, when an insured requires care from a specialist, he/she may go to the specialist at any time. When an insured uses this PCP there is a pre-negotiated reimbursement or copayment for all medical care. When an insured chooses a non-network provider, he/she will incur a larger portion of the cost.
