Inhlanganisela ye-HMO kunye ne-PPO
Isicwangciso se-point-of-service (POS) sinxulumene nenhlangano yokugcinwa kwempilo (HMO) kunye nenhlangano yokubonelela yomboneleli (PPO).
Ngokuqhelekileyo, iiplani zezicwangciso zenkonzo zinomnatha womsebenzi ofana neHMO. Okokuqala, ukhetha ugqirha oyinkathalo oyintloko , ngubani olawulayo kwaye adibanise unonophelo lwakho ngaphakathi kwintanethi. Ugqirha oyintloko oyinyango uba nexanduva lokwenza iziphakamiso ngokubanzi kwiinkqubo zonyango, ukutyelela ochwepheshe, amayeza kunye nokunye.
Izicwangciso zenkonzo zikwavumela ukuba usebenzise umboneleli ongekho kwinethiwekhi ekhethiweyo .
Nangona kunjalo, ukuba ukhetha ukuphuma ngaphandle kwenethiwekhi ekunyamekeleni kwakho, uya kuhlawula ngaphezulu njengesiphumo. Oogqirha be-intanethi kunye neengcali zithandwa.
Ezi zicwangciso ziyaziwa njengezicwangciso zenkonzo ngenxa nganye ngexesha ufuna unonophelo lwempilo (ixesha okanye "iphuzu" lenkonzo), unokugqiba isigqibo sokuba uhlale unxibelelwano kunye nokuvumela ugqirha wakho wokunakekela ugqirha, okanye wena Unokugqiba ukuphuma ngaphandle kwenethiwekhi ngokwakho ngaphandle kokudluliselwa kwirejista yakho yokunyamekela.
HMO
Isicwangciso-nkonzo-nkonzo sineempawu eziliqela kwinkqubo yokugcina impilo, okanye i-HMO. Ukuba umntu ubhalisiwe kwinkqubo yokugcina impilo, baya kufumana uninzi lwabo ukunakekelwa kwabo kuboneleli ngaphakathi kwenethiwekhi.
Ii-HMO zifuna umntu ukuba akhethe ugqirha wezempilo oyintloko, ngubani ke uxanduva lokulawula unyango lwakho lwezempilo oluya phambili.
Ugqirha oyintloko oyinyango uba nexanduva lokwenza iziphakamiso ngokubanzi kwiinkqubo zonyango, ukutyelela ochwepheshe, amayeza kunye nokunye. Udokotela ojongene nophando oluphambili unika nokudluliselwa kwezinye iinkonzo eziyimfuneko kwinethiwekhi.
Ukuba awunalo ukuthunyelwa kwiregistri yakho yokhathalela, okanye ugqiba ukuya kumgqirha ohlukile ngaphandle kwenethiwekhi yesicwangciso sakho sezempilo , kuya kufuneka ukuba uhlawule lonke okanye uninzi lweendleko zaloo nkathalo, njengoko ikhutshwe yi-HMO.
Ii-HMO zidla ngokuba neefayili zincinci zokutyelela ugqirha kunye nezidakamizwa zemithi kwaye akukho zibango zokufaka ifayile.
PPO
Isicwangciso-nkonzo-nkonzo sinokwabelana ngemimandla emininzi ngemibutho yokubonelela ngenkonzo okanye i-PPOs. Umbutho onikhethiweyo umboneleli isicwangciso sempilo esineenkontileka kunye nenethiwekhi enkulu yabanikezeli "abakhethiweyo". Unako ukukhetha ukunakekelwa kwakho okanye inkonzo ngaphandle kwenethiwekhi. Ngokungafani nenhlangano yokugcinwa kwempilo, kwi-PPO akudingeki ukhethe ugqirha wezempilo oyintloko kwaye awudingi ukuhanjiswa ukuba ubone abanye ababoneleli kwinethiwekhi.
Ukuba ufumana unonophelo wakho kumgqirha ophakathi kwintanethi ekhethiweyo, uya kuba noxanduva lokuhlawula imali yakho yonyaka kunye ne- copayment encinane yokutyelela kwakho.