I-Point-of-Service Plan ku-Umshwalense Wezempilo

Ukuhlanganiswa kwe-HMO ne-PPO

Uhlelo lwe-point-of-service (POS) luyinhlanganisela yenhlangano yokugcinwa kwezempilo (HMO) nenhlangano ehlinzekwayo yokuhlinzeka (PPO).

Ngokujwayelekile, amaphuzu wezinhlelo zesevisi anesenethiwekhi esebenza kakhulu njenge-HMO. Okokuqala, ukhetha udokotela oyinhloko wokunakekela , obese ephethe futhi eqondisa ukunakekelwa kwakho ngaphakathi kwenethiwekhi. Udokotela wokunakekelwa oyinhloko uba nesibopho sokwenza izincomo mayelana nezifundo zokwelashwa, ukuvakashelwa ochwepheshe, imithi, nokuningi.

Amaphuzu we-Point-of-service futhi akuvumela ukuba usebenzise umhlinzeki ongekho kwinethiwekhi ekhethiwe .

Kodwa-ke, uma ukhetha ukuphuma ngaphandle kwenethiwekhi ekunakekeleni kwakho, uzokhokha ngaphezulu njengomphumela. Odokotela nabaningi be-intanethi bayathandwa.

Lezi zinhlelo ziyaziwa njengezinhlelo zezinhlelo zokusebenza ngoba isikhathi ngasinye lapho udinga ukunakekelwa kwezempilo (isikhathi noma "iphuzu" lenkonzo), unganquma ukuhlala ku-inethiwekhi futhi uvumele udokotela wakho wokunakekelwa oyinhloko ukuphatha ukunakekelwa kwakho, noma wena anganquma ukungena ngaphandle kwenethiwekhi uqobo ngaphandle kokudluliselwa kudokotela wakho wokunakekela oyinhloko.

I-HMO

Uhlelo lwe-point-of-service linezici eziningana zenhlangano yokugcinwa kwezempilo, noma i-HMO. Uma umuntu ebhalisiwe enhlanganweni yokugcinwa kwezempilo, cishe bayothola iningi lokunakekelwa kwabo kusuka kubanikezeli ngaphakathi kwenethiwekhi.

Ama-HMO adinga ukuthi umuntu akhethe udokotela oyinhloko oyinakekelo, ngubani obhekene nokuphatha ukunakekelwa kwezempilo kwakho phambili.

Udokotela wokunakekelwa oyinhloko uba nesibopho sokwenza izincomo mayelana nezifundo zokwelashwa, ukuvakashelwa ochwepheshe, imithi, nokuningi. Udokotela oyinhloko wokunakekelwa inikeza nokudluliselwa kwezinye izinsizakalo ezidingekayo ngaphakathi kwenethiwekhi.

Uma ungenalo ukudluliselwa kusuka kudokotela wakho wokunakekela oyinhloko, noma unquma ukuya kudokotela ohlukile ngaphandle kwenethiwekhi yakho yezinhlelo zezempilo , cishe uzokhokha konke noma izindleko eziningi zalokhu kunakekelwa, njengoba ngeke ihlanganiswe yi-HMO.

Ama-HMO ngokuvamile anezinkokhelo ezincane zokuvakashelwa udokotela nezidakamizwa zemithi kadokotela futhi azikho izimangalo zokufaka.

I-PPO

Uhlelo lwe-point-of-service lubuye lubelane ngezici eziningana nezinhlangano ezihlinzeka ngokuhlinzeka noma ama-PPOs. Inhlangano ehlinzekwayo yokuhlinzeka uhlelo lwezempilo olunezinkontileka ezinenethiwekhi enkulu yabahlinzeki "abathandayo". Uyakwazi ukukhetha ukunakekelwa noma isevisi yakho ngaphandle kwenethiwekhi. Ngokungafani nenhlangano yokugcinwa kwezempilo, ku-PPO akudingeki ukhethe udokotela oyinhloko yokunakekela futhi awudingi ukuthunyelwa ukuze ubone abanye abahlinzeki kunethiwekhi.

Uma uthola ukunakekelwa kwakho kudokotela okungaphakathi kwinethiwekhi ethandwayo, uzobe usubophezele ukukhokha imali yakho yokukhishwa yonyaka kanye nekhophi encane yokuvakasha kwakho.