HMO vs PPO vs EPO vs POS vs HDHP
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Originally Posted On: https://www.ezaffordablehealthinsurance.com/hmo-vs-ppo-vs-epo-vs-pos-vs-hdhp/
Yes, there are a lot of different health insurance plan types out there, and it can be confusing to know what they all mean. We’re here to help so, here’s a quick rundown of some of the most common types of plans:
- HMO (Health Maintenance Organization): An HMO plan typically requires you to use in-network providers, and may have more restrictions on coverage than other types of plans. However, they tend to have lower premiums and deductibles.
- POS (Point of Service): A POS plan is a bit like an HMO, in that you’ll usually need to use in-network providers. However, POS plans also allow you to see out-of-network providers, though you may pay more for doing so.
- PPO (Preferred Provider Organization): With a PPO plan, you can see in-network or out-of-network providers, but you’ll typically pay more for out-of-network care. PPO plans also usually have higher premiums and deductibles than HMOs or POS plans.
- EPO (Exclusive Provider Organization): An EPO plan is similar to a PPO, except that you can only see in-network providers.
- HDHP with HSA (High Deductible Health Plan with Health Savings Account): This type of plan has a higher deductible than other plans, but also comes with a health savings account that can be used to pay for qualified medical expenses.
- Your health
- Your financial situation
- Whether you want to pay more upfront via premiums, but more in out-of-pocket costs when you use health care services — or vice-versa
- If you want a larger provider network
- If you don’t want to get referrals to see a specialist