Types of Healthcare Insurance in Plymouth, MN You Can Choose From

by | Jun 30, 2023 | Insurance Services

Healthcare insurance is essential because it saves out-of-pocket payments when you require medical attention. However, before purchasing a plan, ensure you understand the different types to get one that meets your medical needs and budget.

Health Maintenance Organization (HMO)

This insurance type offers coverage from healthcare providers and hospitals in their network unless it is an emergency. Some companies require that you work or live around the HMO’s service area to qualify for coverage. You should then choose a primary care provider (PCP) who will offer referrals to specialists when needed.

The main advantage of HMOs is that their costs are significantly lower than other plans. While you might require a co-pay when seeing a specialist or PCP, there is no deductible or co-insurance for in-hospital care.

Preferred Provider Organization (PPO)

Like an HMO, a PPO has a network of healthcare providers and hospitals. However, you can see a professional outside the network, but it will cost you more. You don’t need to choose a PCP and don’t need referrals to see a specialist.

These are usually more expensive in terms of premiums, deductibles, co-insurance, and co-pays.

Point-Of-Service (POS)

This is a good mix between an HMO and PPO because you can choose a PCP from the provided network and see an out-of-network doctor for a higher cost. You also need a referral to see a specialist.

Exclusive Provider Organizations (EPOs)

This plan only covers you when you visit healthcare providers or hospitals in their network unless it is an emergency. However, you don’t need to choose a PCP or get referrals to see a specialist.

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