Essential Explanations on How to Understand the Five General Health Insurance Plans

There are five general types of health insurance. HMOs, PPOs, EPOs, point of service, and service for fee.

Health insurance plans typically fall into 5 basic types, and each type has its own set of benefits and limitations. Health insurance agents may use Health Insurance Leads to determine what type of health insurance plan is suitable to a customer. Nonetheless, before finally arriving at any type of decision, you are expected to do your home work like a smart insurance cover purchaser and comprehend what are the kinds of insurance covers available in the market.

Health Maintenance Organization (HMO)

A Health Maintenance Organization is one of the most common types of health insurance. The majority of American employees purchase their insurance through an HMO because this is typically what their employers offer them. HMOs are the most affordable type of insurance plan and may include preventive care, dental care, and eye care in its coverage. A broad network of doctors, specialists and healthcare facilities are provided to the policyholders of HMO. Policyholders decide on a primary-care physician who will guide all healthcare services and medical needs necessary. The physician is sort of like a gatekeeper in this aspect. When the primary-care physical refers the patient to the specialist or medical service, only expenses will be covered by the HMOs. The drawbacks of an HMO plan is that, out of all healthcare insurance options, it is the most restrictive. In accordance with the plan stipulations, a co-pay may be necessary for the patient to make a visit to a clinic.

Preferred Provider Organizations (PPOs)

Unlike HMOs, a Preferred Provider organization, or PPO, does not necessitate a primary-care physician to make referrals. But, cost-wise it is advantageous if the healthcare services and specialists chosen by the policyholder are within the PPO

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