HMO or PPO
Posted By Administrator
Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs) are types of managed health care. In choosing the best provider for you, consider the pros and cons of each.
HMOs are healthcare providers that have contractual arrangements with insurance companies, and offer services at a fixed price. Under an HMO plan, you are required to choose from among the HMO-accredited doctors and hospitals to take advantage of the health insurance, otherwise, your expenses will not be covered. There are also limitations as to which medical condition is covered. You also need to consult with a primary care physician before you go to an accredited specialist.
PPOs also contract with insurance companies, but are less restrictive in terms of which doctor or hospital you choose. They also have a list of accredited doctors and hospitals, but they partially cover expenses incurred with non-affiliates. There is also a wider coverage on illnesses especially chronic conditions, which are not normally covered by HMOs. There are PPOs that cover a portion of the medicine expenses. PPOs generally have higher premiums than HMOs.
You have these options depending on your needs and financial capability. To know more about your options, visit:
Insurelane.com
Insurance.com
HealthInsurance.com
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