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January 14, 2022Understanding Obama Care – Health Insurance
January 17, 2022In the approach of making Health Insurance choices, it is crucial to understand the difference between HMO and PPO plans.
- HMOs usually offer lower premium and lower out-of-pocket expenses, but allow limited access to care outside the network
- PPOs offer more flexibility in providing access in and out-of-network, but tend to have higher priced premium and out-of-pocket expenses
Reference table for a quick comparison:
Plan feature | HMO | PPO |
Designate a primary care physician? | Yes | No |
Need a referral to see a specialist? | Yes | No |
Out-of-network benefit? | No | Yes |
Level of flexibility | Minimal | High |
Access to convenience care and urgent care clinics | Maybe | Yes |