Verdict
Plan-managed is the easier middle ground. Self-managed gives more control but adds admin work. Both allow unregistered providers — NDIA-managed doesn't.
Self-Managed vs Plan-Managed
Plan-managed is the easier middle ground. Self-managed gives more control but adds admin work. Both allow unregistered providers — NDIA-managed doesn't.
Self-Managed
Best for: Participants wanting full financial control and maximum provider choice
Pros
- Full provider choice including unregistered
- Direct payment relationships
- Maximum flexibility
Cons
- Personal admin burden
- Manual claim submission
- Need own bookkeeping
Plan-Managed
Best for: Participants wanting provider choice without the admin burden
Pros
- Provider choice including unregistered
- Plan manager handles invoicing
- No personal admin
Cons
- Plan manager fees come from plan
- Slight delay in invoice processing
- Plan manager can be replaced if poor service