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I just got a glimpse of the new managed care or referral management plan design of future.
It's looks like an HMO.
Primary care Doctor is the gate keeper to all medical care. No referral no coverage, out of network claims have no coverage. Except ER.
The plan I looked at, went as far at to list the PC doc. on the insurance card.
I think this might be a plan of the future, inside and outside the exchange. Individual, small group, large group, & ASO.
It's looks like an HMO.
Primary care Doctor is the gate keeper to all medical care. No referral no coverage, out of network claims have no coverage. Except ER.
The plan I looked at, went as far at to list the PC doc. on the insurance card.
I think this might be a plan of the future, inside and outside the exchange. Individual, small group, large group, & ASO.