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Can someone explain a ppo vs. an hmo... from what i understand, it appears that an hmo is less expensive? |
Can someone explain a ppo vs. an hmo... from what i understand, it appears that an hmo is less expensive? I believe you are right... HMOs are less expensive, but you have to pick from the doctor list you are given. I think there are also referrals involved which makes seeing other doctors a tedious process. In general, I think they are less flexible, but I could be wrong. HMO are cheaper, generally, because they lock you in to a Health Maintenance Organization... meaning, they chose the doctors, medicines, treatment options, locations,etc... in a hmo they tell you where you can go and you have to have referrals for any medical doctor specialist that you see and in a ppo you do not have to have that referal...i have appo and they are not as intrusive as the hmo is...but the referal is the big difference as far as cost goes I am not sure because my husbands plan is paid for by the company he works for.... yeah like justr said. HMO's are an insurance company plan that requires you to pick for an established list. You have to see a primary care physician, and if needed, they will then refer you to a specialist. HMO's are less expensive on your part, but the tell you the one (or few doctors or hospitals or clinics) that they will cover with Health insurance if you go for medical attention... They have strict rules about it....Be sure to see how far you will have to travel to get to the places they will pay for, and how full their schedules are, in case you need to go, will there be weeks long waiting period to get in, or can you get an appointment pretty quickly? Yes, HMO plans are generally less expensive. However, the the HMO Plan you are restricted to only seeing doctors who are part of the HMO network, which is often far more limited than PPO networks. In addition, a gatekeeper, or doctor must always approve you going to any kind of specialist. |
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