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HMO and PPO..whats the difference? |
i have HMO and i'm 23. i'm married and plan on getting pregnant. what is better for me. I live in southern california. i have no idea what my HMO covers and what it doesnt. I have Blue Cross Classic HMO. THanks HMO is a Health Maintenance Organization the health care provider signs a contract with the insurance to provide services listed under the contract. This require pre-authorization before test and procedures are preformed. PPO is the best. You have the ability of picking your own Dr and where you go. HMO is cheaper but you have to stick with the list of providers that your company will accept as an HMO Dr. PPO is worth the extra money. |
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Sure you can go. But don't expect the HMO to pay for all or maybe even any of it. Unfortunately, the nature of HMO coverage is often, wait... It may be, however, that the surgeon just does... Check with your insurance. Most don't ...You could try turning them in to your state insurance commissioner. ...It's a problem for everyone, including all health care providers. The change needs to occur with the HMO's themselves because they're the only ones profiting, not us. HMO reimburseme... Check in your Subscriber Handbook/Drug Formulary or call Customer Service...they are usually very helpful ...Stay with the HMO if you can. If you've been with the HMO for awhile all your families records are there and they're familiar with you. If the HMO is less expensive than the PPO stay wit... I've had both and preferred Blue Cross over Pacificare. The benefits were better. However, I preferred Pacificare over Kaiser! ...Aetna Open Access Select is the closest you'll get to a PPO without paying for it. The major difference is that with AOAS you have to stay within network (certain list of doctors, including sp... |
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