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Types of Health Insurance Plans

When exploring health insurance options, you will encounter several plan types, each with its unique features and benefits:

  • Health Maintenance Organization (HMO): HMOs require you to choose a primary care physician and get referrals for specialist care. They often have lower premiums but less flexibility in choosing providers.
  • Preferred Provider Organization (PPO): PPOs offer more flexibility in selecting healthcare providers and do not require referrals for specialists. However, they usually come with higher premiums and out-of-pocket costs.
  • Exclusive Provider Organization (EPO): EPOs combine features of HMOs and PPOs, offering a network of providers without the need for referrals but typically do not cover out-of-network care.
  • Point of Service (POS): POS plans require referrals for specialists like HMOs but offer more provider flexibility like PPOs, often at a moderate premium cost.
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