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What is the difference between a PPO and a HMO insurance plan?
HMO (Health Maintenance Organization) Health Insurance Plans: Give you access to certain doctors and hospitals within its network. A network is made up of providers that have agreed to lower their rates for plan members and also meet quality standards. But unlike PPO plans, care under an HMO plan is covered only if you see a provider within that HMO’s network. Example: Kaiser
PPO (Preferred Provider Organization) Insurance Plans: PPO plans provide more flexibility when picking a doctor or hospital. They also feature a network of providers, but there are fewer restrictions on seeing non-network providers. In addition, your PPO insurance will pay if you see a non-network provider, although it may be at a lower rate. Examples: HDHP 1 & 2, Domestic Partner PPO Plans. Retiree HDHP plan