- Acute Flaccid Myelitis
- Alzheimer’s Disease
- Arteriovenous Malformations
- Attention Deficit Hyperactivity Disorder
- Back Pain
- Brain Aneurysm
- Brain Tumors
- Carpal Tunnel Syndrome
- Childhood Brain Tumors
- Delirium
- Dementia
- Hemorrhagic Stroke
- Ischemic Stroke
- Memory
- Meningitis
- Mild Cognitive Impairment
- Movement Disorders
- Multiple Sclerosis
- Neuroblastoma
- Neuromuscular Disorders
- Parkinson’s Disease
- Polio and Post-Polio Syndrome
- Speech and Language Problems in Children
- Stroke
- Transient Ischemic Attack
- Tremor
- Walking Problems
- West Nile Virus
- A1C
- Blood Glucose
- Diabetes
- Diabetes and Pregnancy
- Diabetes Complications
- Diabetes in Children and Teens
- Diabetes Medicines
- Diabetes Type 1
- Diabetes Type 2
- Diabetic Diet
- Diabetic Eye Problems
- Diabetic Foot
- Diabetic Heart Disease
- Diabetic Kidney Problems
- Diabetic Nerve Problems
- How to Prevent Diabetes
- Hyperglycemia
- Metabolic Syndrome
- Prediabetes
- Abortion
- Breast Cancer
- Breast Diseases
- Breast Reconstruction
- Breastfeeding
- Cervical Cancer
- Cervical Cancer Screening
- Cesarean Delivery
- Childbirth
- Ectopic Pregnancy
- Endometriosis
- Female Infertility
- Health Problems in Pregnancy
- High Blood Pressure in Pregnancy
- HIV and Pregnancy
- Hormone Replacement Therapy
- HPV
- Hysterectomy
- Infections and Pregnancy
- Mammography
- Mastectomy
- Menopause
- Menstruation
- Miscarriage
- Ovarian Cancer
- Ovarian Cysts
- Ovarian Disorders
- Pelvic Floor Disorders
- Pelvic Inflammatory Disease
- Pelvic Pain
- Period Pain
- Polycystic Ovary Syndrome
- Pregnancy
- Pregnancy and Drug Use
- Pregnancy and Opioids
- Premenstrual Syndrome
- Prenatal Care
- Prenatal Testing
- Primary Ovarian Insufficiency
- Sexual Problems in Women
- Stillbirth
- Teenage Pregnancy
- Trichomoniasis
- Tubal Ligation
- Uterine Cancer
- Uterine Diseases
- Uterine Fibroids
- Vaginal Bleeding
- Vaginal Cancer
- Vaginal Diseases
- Vaginitis
- Vulvar Cancer
- Vulvar Disorders
- Yeast Infections
- Alcohol
- Calcium
- Child Nutrition
- Cholesterol
- Cholesterol Levels: What You Need to Know
- Cholesterol Medicines
- DASH Eating Plan
- Eating Disorders
- Food Allergy
- HDL: The “Good” Cholesterol
- High Cholesterol in Children and Teens
- How to Lower Cholesterol
- How to Lower Cholesterol with Diet
- Infant and Newborn Nutrition
- LDL: The “Bad” Cholesterol
- Malabsorption Syndromes
- Nutrition for Older Adults
- Pregnancy and Nutrition
- Toddler Nutrition
- Triglycerides
- VLDL Cholesterol
- Alpha-1 Antitrypsin Deficiency
- Ataxia Telangiectasia
- Brain Malformations
- Cerebral Palsy
- Charcot-Marie-Tooth Disease
- Chiari Malformation
- Cleft Lip and Palate
- Color Blindness
- Congenital Heart Defects
- Craniofacial Abnormalities
- Cystic Fibrosis
- Ehlers-Danlos Syndrome
- Fetal Alcohol Spectrum Disorders
- Friedreich Ataxia
- Genetic Counseling
- Hemophilia
- Huntington’s Disease
- Hydrocephalus
- Muscular Dystrophy
- Neural Tube Defects
- Neurofibromatosis
- Newborn Screening
- Osteogenesis Imperfecta
- Prader-Willi Syndrome
- Pregnancy and Medicines
- Rett Syndrome
- Sickle Cell Disease
- Spina Bifida
- Spinal Muscular Atrophy
- Tay-Sachs Disease
- Tourette Syndrome
- Tuberous Sclerosis
- Usher Syndrome
- Acute Lymphocytic Leukemia
- Allergy
- Animal Bites
- Ankylosing Spondylitis
- Aplastic Anemia
- Asthma
- Asthma in Children
- Childhood Leukemia
- Childhood Vaccines
- Chronic Lymphocytic Leukemia
- COVID-19 Vaccines
- Cryptosporidiosis
- Eosinophilic Disorders
- Eosinophilic Esophagitis
- Giant Cell Arteritis
- Hay Fever
- HIV
- HIV and Infections
- HIV in Women
- Hodgkin Lymphoma
- Infectious Diseases
- Infectious Mononucleosis
- Juvenile Arthritis
- Kawasaki Disease
- Lymphedema
- Lymphoma
- Multiple Myeloma
- Pemphigus
- Pneumocystis Infections
- Rheumatoid Arthritis
- Scleroderma
- Sjogren’s Syndrome
- Tonsillitis
- Vaccines
- Viral Infections
- Adhesions
- Ankle Injuries and Disorders
- Arm Injuries and Disorders
- Back Injuries
- Brachial Plexus Injuries
- Burns
- Chest Injuries and Disorders
- Concussion
- CPR
- Dislocated Shoulder
- Dislocations
- Elbow Injuries and Disorders
- Eye Injuries
- Facial Injuries and Disorders
- Finger Injuries and Disorders
- Foot Injuries and Disorders
- Fractures
- Hand Injuries and Disorders
- Heel Injuries and Disorders
- Hip Injuries and Disorders
- Inhalation Injuries
- Insect Bites and Stings
- Jaw Injuries and Disorders
- Knee Injuries and Disorders
- Leg Injuries and Disorders
- Mosquito Bites
- Neck Injuries and Disorders
- Rotator Cuff Injuries
- Shoulder Injuries and Disorders
- Spinal Cord Injuries
- Sprains and Strains
- Tick Bites
- Toe Injuries and Disorders
- Traumatic Brain Injury
- Wrist Injuries and Disorders
- Acute Bronchitis
- Bird Flu
- Chronic Bronchitis
- COPD
- COVID-19 (Coronavirus Disease 2019)
- Croup
- E-Cigarettes
- Fistulas
- Flu
- Granulomatosis with Polyangiitis
- H1N1 Flu (Swine Flu)
- Legionnaires’ Disease
- Lung Cancer
- Mesothelioma
- Pneumonia
- Pulmonary Hypertension
- Respiratory Syncytial Virus Infections
- Sleep Apnea
- Smoking
- Tuberculosis
- Whooping Cough
- Anatomy
- Assisted Reproductive Technology
- Birth Control
- Chlamydia Infections
- Circumcision
- Erectile Dysfunction
- Genital Herpes
- Genital Warts
- Gonorrhea
- Herpes Simplex
- Infertility
- Male Infertility
- Penis Disorders
- Prostate Cancer
- Prostate Cancer Screening
- Prostate Diseases
- Reproductive Hazards
- Sexual Health
- Sexual Problems in Men
- Sexually Transmitted Diseases
- Syphilis
- Testicular Cancer
- Testicular Disorders
- Vasectomy
- Abdominal Pain
- Bad Breath
- Bleeding
- Breathing Problems
- Bruises
- Chest Pain
- Choking
- Chronic Pain
- Constipation
- Cough
- Diarrhea
- Dizziness and Vertigo
- Edema
- Fainting
- Fever
- Frostbite
- Gas
- Gastrointestinal Bleeding
- Headache
- Heartburn
- Heat Illness
- Hives
- Hypothermia
- Indigestion
- Itching
- Jaundice
- Nausea and Vomiting
- Pain
- Rare Diseases
- Raynaud’s Disease
- Sciatica
- Speech and Communication Disorders
- Stuttering
Managed Care
Summary
Managed care plans are a type of health insurance. They have contracts with health care providers and medical facilities to provide care for members at reduced costs. These providers make up the plan’s network. How much of your care the plan will pay for depends on the network’s rules.
Plans that restrict your choices usually cost you less. If you want a flexible plan, it will probably cost more. There are three types of managed care plans:
- Health Maintenance Organizations (HMO) usually only pay for care within the network. You choose a primary care doctor who coordinates most of your care.
- Preferred Provider Organizations (PPO) usually pay more if you get care within the network. They still pay part of the cost if you go outside the network.
- Point of Service (POS) plans let you choose between an HMO or a PPO each time you need care.
Learn More
- Centers for Medicare & Medicaid Services Centers for Medicare & Medicaid Services
- Health Maintenance Organizations (HMOs) Centers for Medicare & Medicaid Services
- Managed Care Plans: Getting Good Care for Your Child American Academy of Pediatrics
- Medicare Advantage Plans Centers for Medicare & Medicaid Services
- Medicare Special Needs Plans (SNP) Centers for Medicare & Medicaid Services
- Preferred Provider Organizations (PPOs) Centers for Medicare & Medicaid Services
- Types of Managed Care Plans American Academy of Pediatrics
- Women’s Preventive Services Guidelines Health Resources and Services Administration