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Medical Assistant Prep / Unit 26   MAS 628 short lesson, about 20 seconds

Types of Health Plans

Captions available

The idea

Common plan types include HMOs, PPOs and high-deductible plans.

In practice

An HMO often requires a referral from the primary care provider before a specialist visit; a PPO has in-network providers with lower costs and allows out-of-network care at higher cost.

Where people slip

Checking a plan's referral rules before booking prevents denied claims.

Your place on the trail

Every lesson rests on earlier ones and opens later ones. Tap any to jump.

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