Insurance
Information
All patients are encouraged to verify their benefits with their
plan administrator by referring to their insurance membership card
for contact information. Many insurance companies may be included
in the listed plans below.
Springfield Clinic accepts plans that may not be listed below.
Springfield Clinic also contracts directly with some employers.
Please check with your employer or insurance carrier if you have
questions about coverage.
Definitions Health
Maintenance Organization (HMO): HMOs offer prepaid, comprehensive
health coverage for both hospital and physician services. An
HMO contracts with health care providers, e.g., physicians, hospitals,
and other health professionals, and members are required to use
participating providers for all health services. Members are
enrolled for a specified period of time. Model types include
staff, group practice, network, and IPA.
Preferred Provider Organization (PPO): Some combination of hospitals
and physicians that agrees to render particular services to a
group of people, perhaps under contract with a private insurer.
The services may be furnished at discounted rates and the insured
population may incur out-of-pocket expenses for covered services
received outside the PPO if the outside charge exceeds the PPO
payment rate.
Point-of-Service (POS): Also known as an open-ended HMO, POS
plans encourage, but do not require, members to choose a primary
care physician. As in traditional HMOs, the primary care physician
acts as a "gatekeeper" when making referrals; plan
members may, however, opt to visit non-network providers at their
discretion. Subscribers choosing not to use the primary care
physician must pay higher deductibles and copays than those using
network physicians.
Workers Compensation: A state-mandated program providing insurance
coverage for work-related injuries and disabilities.
Indemnity: A plan which reimburses physicians for services performed,
or beneficiaries for medical expenses incurred. Such plans are
contrasted with group health plans, which provide service benefits
through group medical practice.
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