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Managed Care Plans Essay

552 words - 3 pages

Running Head: Managed Care Plans

Unit 6 Managed Care Plans

Kaplan University

HS230-01
Professor
April 9, 2012

“Managed care is an umbrella term for all healthcare plans that provide healthcare in return for present schedule payments and coordinated through a define network of physicians and hospitals. The passage of the Health Maintenance Organization Act in 1973 provided for federal aid to health insurance prepayment plans that met certain criteria”. Advantages to managed care are: health care costs are usually contained, established fee schedule, and authorized services are usually paid for. The disadvantages of having managed care are: access to specialized care and referrals can be limited, physician’s choices in treatment can be limited, and the amount of paper work can be increased. (Young, 2007).
Aetna provides care ...view middle of the document...


Humana plans has value to meet your budget, choice of plans, choice of deductable, and a choice of optional benefits. United Health Group has plans are health coverage, health and wellness information, Medicare, Medicare part D, and Medicaid plans, and AARP products. Aetna plans are health coverage, dental insurance, pharmacy plans, Medicare, disability, life insurance, behavioral and mental health, wellness products and discounts, vision, and student health insurance. Humana monthly cost for health insurance for a single white female in Ohio is between $197.50 and $567.72 some plan have prescription coverage included (Humana, 2012).
United Health Group is a leading health care company, serving more than seventy five million people worldwide. Our family of companies touches every aspect of health care, helping people live healthier lives. United Health Group offers health coverage, Medicare and retirement, United Healthcare Community and State, Optum Health, Optuminsight, and OptiumRx. United Health Groups monthly cost for health insurance for a single white female living in Ohio is between $64.33 to $144.94 (United Health Group, 2012).
If I was a patient and had to choose between Aetna, Humana, and United heath Group I would choose United Health Group because I am not sick very often and I take no prescriptions. I would only have health insurance for emergencies.
As an administrator looking to collaborate with a plan, I would choose all three plans. Aetna, Humana, and United Health Group vary in different ways depending on what the policyholder wants or can afford. The employers pick the insurance company for the employees so it would depend on what is most used in the area you live in.

References
Aetna, 2012. Retrieved from: www.aetna.com April 10, 2012.
Humana, 2012. Retrieved from: www.humana.com April 10, 2012.
United Health Group, 2012. Retrieved from: unitedealthgroup.com April 10, 2012.
Young, A., 2007. The Administrative Medical Assistant an Applied Learning Approach. St. Louis, MO: Saunders Elsevier.

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