09.04.2019 Views

Which health insurance plan is best - HMO, PPO, HDHP, POS, EPO

The two most common health plans have been generally HMOs and PPOs, but HDHPs have become a lower-cost health insurance option for employers over the past decade. POS and EPO plans are options provided by some employers and health insurers, but they’re not nearly as common as HMOs, PPOs and HDHPs. Choosing the RIGHT Health Insurance Plan is Unique for Every Situation. The Independent Benefit Advisors, serving Raleigh & the Triangle, Charlotte, Wilmington and ALL of North Carolina can help determine the plan that is best for YOUR situation. For more info. Call at +1 (919) 303-9690 or Visit at https://www.thebenefitadvisors.com/explaining-different-health-insurance-types/

The two most common health plans have been generally HMOs and PPOs, but HDHPs have become a lower-cost health insurance option for employers over the past decade. POS and EPO plans are options provided by some employers and health insurers, but they’re not nearly as common as HMOs, PPOs and HDHPs. Choosing the RIGHT Health Insurance Plan is Unique for Every Situation. The Independent Benefit Advisors, serving Raleigh & the Triangle, Charlotte, Wilmington and ALL of North Carolina can help determine the plan that is best for YOUR situation. For more info. Call at +1 (919) 303-9690 or Visit at https://www.thebenefitadvisors.com/explaining-different-health-insurance-types/

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What <strong>is</strong> a <strong>PPO</strong>?<br />

<strong>PPO</strong> stands for preferred-provider organization. Premiums and deductibles are<br />

usually much higher for a <strong>PPO</strong> compared to an <strong>HMO</strong>, but that comes with greater<br />

flexibility.<br />

<strong>PPO</strong> Pros: Larger Network, Can go out of network, Don’t need a referral for special<strong>is</strong>ts<br />

<strong>PPO</strong> Cons: Higher premiums & Has a deductible<br />

You usually don’t have to select a primary care provider (PCP) in a <strong>PPO</strong> <strong>plan</strong>, and you<br />

can choose from more <strong>health</strong>care providers than an <strong>HMO</strong> because <strong>PPO</strong> networks are<br />

usually larger. <strong>PPO</strong>s allow you to get both in-network and out-of-network care —<br />

though out-of-network providers will cost you more. You can also see a special<strong>is</strong>t<br />

without a referral.<br />

In addition to higher premiums, <strong>PPO</strong>s usually have a deductible that you have to<br />

meet before the <strong>health</strong> <strong>plan</strong> pays for care.<br />

What kind of person should chose a <strong>PPO</strong> <strong>plan</strong>: Someone who utilizes <strong>health</strong> care<br />

regularly and sees special<strong>is</strong>ts or wants to have the option to see a special<strong>is</strong>t without<br />

getting a referral.

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