Take a minute to learn how these plans differ. Being familiar with the plan types can help you pick one to fit your budget and meet your health care needs. To learn the specifics about a brand's particular health plan, look at its summary of benefits. Health Maintenance Organization (HMO...
One type of plan may cover out-of-network services while another may not. Get to know the ABCs of the three main types of insurance plans. What is a PPO? Preferred Provider Organizations give you choice and flexibility Learn more What is an HMO? Health Maintenance Organizations offer you ...
An EPO is a type of managed care plan similar to HMO and PPO plans in certain regards. You’re only covered when you see in-network providers. However, you don’t have to choose a primary care provider, and you don’t need a referral to see a specialist. There is one exception to ...
An alternative to the HMO is the preferred provider organization (PPO), also known as a participating provider option, which offers features of traditional fee-for-service insurance plans, such as the ability of patients to choose their own health care providers, but also follows the lower-cost...
There are four types of health insurance plans available through ObamaCare's marketplace they are Bronze, Silver, Gold, and Platinum health insurance plans.
Here are the most common types of plans: Health Maintenance Organization (HMO) HMOs require you to choose a primary care physician (PCP) who coordinates all your health services. You typically need a referral from your PCP to see a specialist. This plan usually has lower premiums but there’...
Health Maintenance Organization (HMO) Managed Care Plans Health Maintenance Organization (HMO) The most common type of managed care plan Primary care physician (PCP) serves as gatekeeper Advantages: Lower Cost Most include preventative and health improvement services Less paperwork Disadvantage: Lack of ...
(1) Service Benefit Plans guarantee provided medical services in exchange for paying premiums. There may be a variety of exclusions for medical services and the insured may be liable for deductibles or co-payments. These plans are subject to special regulations regarding areas of coverage, renewal...
Although most employers will contract with an insurance provider of some kind, others may make direct reimbursements Health maintenance organizations (HMOs). These organizations require enrollees to receive care from certain providers who work for the HMO or have a contract with the plan. ...
Like a health insurance HMO, DHMO plans provide a network of dentists that accept the plan for a set co-pay, or no fee at all. However, you may not be able to see an out-of-network dentist. If you do, you may have to pay the full amount on your own. ...