The HMO plan wants you to use its network of providers, but recognizes that sometimes enrollees want to choose their own provider. These rates are referred to as Category A rates and Category B rates. The amount an employee will pay for the health plan elected will depend on what category applies to the employee. An organization that contracts with a selected group of health care providers to deliver medical services to a specific group of individuals. In the comparison charts, this column shows you what you pay for prescriptions when you use a plan pharmacy.
Some plans charge different amounts for refills, select drugs and mail orders.
In many plans, if you get the brand name instead of a generic substitution, you also pay the difference between the two. A doctor, hospital, health care professional, or health care facility. Good quality health care means doing the right thing at the right time, in the right way, for the right person - and getting the best possible results.