What Is The Difference Between An HMO And A PPO?

Nevada Insurance Enrollment Answers, Which One Is Best For Me?

LAS VEGAS - nvtip -- You've probably heard the terms HMO and PPO. We created a simple side-by-side chart that shows the basic features of HMOs and PPOs. Remember, there is no right or wrong choice when it comes to selecting your health care plan. Having a clear understanding of these plans and how they work will help you in choosing the plan that's best for you, your family and your budget.

What is a PPO?
PPO stands for Preferred Provider Organization.  A PPO health insurance plan allows for more flexibility and more choices when it comes to your healthcare.  It offers a network of healthcare providers to choose from and you have the freedom to receive care from within that network or choose an out-of-network doctor, specialist or hospital without a referral.  Keep in mind, however, that your out-of-pocket medical costs are lower when you choose an in-network provider.

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PPO plans do not require you to choose a Primary Care Physician (PCP) and do not require referrals.  Let's say you have a doctor or specialist that you like and have been seeing for years.  With a PPO plan you could continue your visits whether they are in-network or out-of-network and without the need for a referral.

It is important to remember, that while you can receive care from any doctor, specialist or hospital you choose, you will save more money by choosing an in-network provider.

Higher Monthly Premium
The greater flexibility of a PPO often comes with a higher monthly premium, a deductible that must be met before coverage begins, and co-pays.  While you can choose to use doctors, specialists or hospitals outside of your network, there will be higher out-of-pocket costs associated with these visits.

What is an HMO?
HMO stands for Health Maintenance Organization. With an HMO plan, you must choose a Primary Care Physician (PCP) from a network of local healthcare providers who will refer you to in-network specialists or hospitals when necessary. All your care is coordinated through that PCP.  HMO plans generally won't cover out-of-network care except in a true emergency.

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Lower Cost
With an HMO plan, your out-of-pocket medical costs and monthly premiums will generally be lower than a PPO.

Read the full article: https://www.nevadainsuranceenrollment.com/difference-between-hmo-ppo/
Learn more: https://www.nevadainsuranceenrollment.com/individual-family-health-insurance/
Nevada Insurance Enrollment
4260 W. Craig Road suite #150-A
North Las Vegas, NV 89032
(702) 898-0554
Website: NevadaInsuranceEnrollment.com

Nevada Insurance Enrollment
Shelly Rogers

Source: Nevada Insurance Enrollment

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