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The acronyms of health insurance alone are enough to confuse anyone. HMO? PPO? Huh? Don’t be scared away. We’ve got a simple breakdown that will help you decide which kind of health insurance policy is best for you.
There are four types of health plans – HMO, PPO, FFS and POS:
Health Maintenance Organizations (HMOs)
With this plan, you’re required to choose a primary doctor from the company's list of providers. Before you can see a specialist, you must see your primary doctor and get a referral. HMOs are the least expensive form of private health insurance, but they also give you the fewest options.
Preferred Provider Organizations (PPOs)
You get discounted rates when you see a doctor in your network. If you see a doctor outside of your network, you have to make a co-payment.
Fee-For-Service (FFS)
FFS plans are also referred to as indemnity health plans. You pay a set amount of the cost and the insurance company pays the balance. The insurance company may pay 80% and you pay 20 percent. You can choose your own provider.
Point of Service (POS)
This insurance plan allows the insured person to choose providers or specialists with the POS plan's network, referred by their primary care physician, or to self-refer to a provider outside the network. You will receive the highest level of benefits if it uses providers inside the network.
So, as you can see, which plan you choose will depend on how you want to pay for services, and how much freedom you want in choosing how you receive those services. For more help, contact a health professional or a representative from any insurance company to guide you through the process.
if you are looking for an individual plan then ppo's are great. BCBS have some good plans