What is the difference between a PPO and an HMO plan? | WPS Explains
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When shopping for health insurance,
When shopping for health insurance, you'll notice there are a few different types of managed care plans, each with pros and cons. Let s talk about the difference between two kinds of plans: PPO (or, Preferred Provider Organization) plans and HMO (or, Health Maintenance Organization) plans.
All PPO and HMO plans have networks (the providers and facilities your plan has contracted with to provide health care services). The main differences between PPO plans and HMO plans are how you access that network and how the cost of care is covered. PPO plans give you more flexibility in which providers you see. You'll receive the highest level of benefits when you visit an in-network provider. You're also free to visit out-of-network providers but will likely pay more out of pocket. HMO plans require you to stay within their network for care unless it's a medical emergency. If you choose to visit a provider who isn't in the network for a nonemergency service, there is no coverage at all and you will be responsible for the entire medical bill. When choosing between a PPO plan and an HMO plan, consider what matters most to you: cost or flexibility and access. PPO plans offer more flexibility and might be a good choice if there is a health care provider you prefer to see.
PPO plans often have higher monthly premiums and higher out-of-pocket costs, including deductibles. HMO plans might be a good choice if you are on a budget and don't anticipate many visits to your provider. They offer less flexibility, but often have lower monthly premiums and lower out-of-pocket costs. WPS is here to help.
WPS Individual & Family Health Insurance Plans: https://www.wpshealth.com/individual-...
WPS Group Health Insurance Plans: https://www.wpshealth.com/group/?utm_...
YT21666
All PPO and HMO plans have networks (the providers and facilities your plan has contracted with to provide health care services). The main differences between PPO plans and HMO plans are how you access that network and how the cost of care is covered. PPO plans give you more flexibility in which providers you see. You'll receive the highest level of benefits when you visit an in-network provider. You're also free to visit out-of-network providers but will likely pay more out of pocket. HMO plans require you to stay within their network for care unless it's a medical emergency. If you choose to visit a provider who isn't in the network for a nonemergency service, there is no coverage at all and you will be responsible for the entire medical bill. When choosing between a PPO plan and an HMO plan, consider what matters most to you: cost or flexibility and access. PPO plans offer more flexibility and might be a good choice if there is a health care provider you prefer to see.
PPO plans often have higher monthly premiums and higher out-of-pocket costs, including deductibles. HMO plans might be a good choice if you are on a budget and don't anticipate many visits to your provider. They offer less flexibility, but often have lower monthly premiums and lower out-of-pocket costs. WPS is here to help.
WPS Individual & Family Health Insurance Plans: https://www.wpshealth.com/individual-...
WPS Group Health Insurance Plans: https://www.wpshealth.com/group/?utm_...
YT21666
3 سال پیش
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