What is a traditional or fee-for-service health plan called?

Asked by: Ophelia Hickle  |  Last update: January 11, 2026
Score: 4.8/5 (51 votes)

Fee for service (FFS) Also called indemnity insurance is a traditional type of policy where insurance companies pay for the services provided to the individuals covered by the policy.

What is another name for traditional or fee-for-service?

Also identified as indemnity plans, the FFS coverage is most pricey; however, a fee-for-service health plan provides complete independence and flexibility to those who can afford it.

What is a traditional fee-for-service health insurance plan?

Fee-for-Service (FFS) Plans (non-PPO)

A traditional type of insurance in which the health plan will either pay the medical provider directly or reimburse you after you have filed an insurance claim for each covered medical expense. When you need medical attention, you visit the doctor or hospital of your choice.

Which insurance is also called a fee-for-service plan?

In addition, fee-for-service is a term often applied to original or traditional Medicare, to distinguish it from Medicare managed-care plans and other new payment systems.

What are traditional health insurance plans also referred to as?

A health insurance plan which provides reimbursement for covered procedures based on a health care provider's usual and customary charges. A traditional indemnity plan, also referred to as a fee-for-service plan, typically does not restrict an insured person's choice of health care provider.

How Health Insurance Works | What is a Deductible? Coinsurance? Copay? Premium?

39 related questions found

What is a traditional insurance plan?

These plans broadly include features such as life insurance cover, guarantees, returns, safety and tax benefits. Traditional policies are considered risk-free, as they provide fixed returns in case of death or maturity of the policy.

What is another term used for the cost of health insurance?

Premium - The fee you pay to have insurance. Also called 'rate' or 'premium rate.

What is a service plan fee?

service plan fee means the agreement conclusion fee and relevant monthly fee for using bank's services included in the service plan chosen by the customer; Sample 1Sample 2Sample 3.

What is a fee-for-service plan also known as an indemnity plan?

Indemnity plans are also called Fee-for-Service. This type of plan allows you to go to any health care provider. Members don't have to limit themselves to physicians or hospitals under a network. The medical bill is sent to the health insurance company and they pay for a portion of the cost.

What is the difference between fee-for-service and capitation?

Capitation: where a payment is made to a PCP for every patient for whom they provide care. Fee‐for‐service (FFS): where payment is made to a PCP for every item of service or unit of care that they provide.

What is a traditional PPO health plan?

Preferred Provider Organization (PPO): A type of health plan where you pay less if you use providers in the plan's network. You can use doctors, hospitals, and providers outside of the network without a referral for an additional cost.

What are the different types of HMO?

There are four types of HMOs: staff model, group model, network model, and independent practice association. HMOs offer excellent services but mostly for in-network options. HMOs are on par with deductibles and copayments compared to other types of insurance.

What is the insurance service fee?

"Insurance service charge" means any charge, other than the insurance premium, for the service of placing, renewing, approving or recording on the records and accounts of any mortgagee, vendor, holder or lender any substitution of insurers or change in insurance on the collateral security for a loan.

What is a traditional fee-for-service health insurance?

Fee-for-Service (FFS) Plans (non-PPO) - A traditional type of insurance in which the health plan will either pay the medical provider directly or reimburse you after you have filed an insurance claim for each covered medical expense.

What is a fee for a service called?

A service charge, also called a service fee, refers to a fee collected to pay for services that relate to a product or service that is being purchased. In other words, a service charge is an additional charge for the service provided with the purchase of a product or service.

What is another name for the cost method?

In inventory management, the term 'costing method' is sometimes used interchangeably with 'inventory valuation method', which refers to techniques used for determining the total value of all stock-on-hand inventory.

What is another name for traditional or fee-for-service health insurance?

Also called indemnity insurance is a traditional type of policy where insurance companies pay for the services provided to the individuals covered by the policy.

What is a traditional indemnity health plan?

What's an indemnity plan? Indemnity insurance helps pay medical bills. You may cover some costs yourself first (deductible). After that, you'll share some of the costs with the insurance company (co-insurance). You can go to any doctor or hospital and insurance will reimburse you.

What is fee-for-service payment plan?

Fee-for-service is a system of health insurance payment in which a doctor or other health care provider is paid a fee for each particular service rendered, regardless of the outcome.

What is the difference between a service fee and a gratuity?

I explained that a service charge is typically a set amount added to a guest check in lieu of a tip. An automatic gratuity is a set amount, such as for a party of 8 or more, a buy-out or banquet. And a true tip/gratuity is an actual discretionary amount left by the guest for the service employees.

Is a fee-for-service plan the same as a PPO?

PPO - A Preferred Provider Organization (PPO) is similar to a traditional "fee-for-service" plan, but you must use doctors in the PPO provider network or pay higher co-insurance (percentage of charges). You must usually meet an annual deductible before some benefits apply.

What are the cons of fee-for-service healthcare?

This can lead to higher administrative costs and lower efficiency. Downside risk: Providers may not be reimbursed for all services they bill for, which can lead to financial risk. Higher healthcare costs: FFS can lead to higher healthcare costs since providers are incentivized to perform more services.

What is another term for cost sharing of patients healthcare expenses is typically called?

This is called "cost sharing" or "out-of-pocket" costs. Cost sharing varies with different types of health plans, but most will have a copayment, coinsurance or deductible amount.

Which type of health insurance plan is not considered a managed care plan?

Indemnity Plans: Indemnity or traditional insurance is not considered "managed care". In indemnity plans the member chooses his or her own providers. Oversight of care by the health plan is minimal.

What are the common terms of health insurance?

Health insurance terms you should know
  • Allowed Amount. This is the maximum payment the plan will pay for a covered health care service. ...
  • Balance Billing. When a provider bills you for the balance remaining on the bill that your plan doesn't cover. ...
  • Coinsurance. ...
  • Complaint. ...
  • Copayment. ...
  • Cost Sharing. ...
  • Deductible. ...
  • Dispute.