Why might someone choose a managed care plan?

Study for the Vermont Life, Accident and Health Insurance Exam. Prepare with flashcards and multiple choice questions, each with hints and explanations. Achieve success in your exam!

Choosing a managed care plan often stems from the desire for lower costs and coordinated care. Managed care plans, such as Health Maintenance Organizations (HMOs) or Preferred Provider Organizations (PPOs), typically have arrangements with a network of healthcare providers to deliver services at a reduced cost.

Patients in managed care plans benefit from lower premiums and out-of-pocket expenses due to these negotiated rates. Additionally, managed care emphasizes coordinated care, which means that a primary care physician typically oversees the patient's treatment and facilitates referrals to specialists. This can lead to more efficient use of healthcare services, as well as improved patient outcomes through better communication among providers.

In contrast, the other options present scenarios that are generally not aligned with the typical characteristics of managed care plans. Unlimited access to healthcare providers, for instance, tends to be a feature of traditional insurance plans rather than managed care. Managed care usually requires members to select from a specified network of healthcare providers. Avoiding any form of cost-sharing is unrealistic, as even managed care plans involve co-pays and deductibles, albeit usually at a reduced rate. Lastly, managed care does not deal with direct billing systems that bypass traditional insurance mechanisms; rather, it operates within the structure of insurance to manage costs and care.

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