What is the difference between HMO/PPO/POS/Indemnity plans?
• HMO plans typically have a limited network of providers and lower out of pocket costs for services. A primary care physician is usually selected and manages your health care and serves as a gatekeeper for referral to specialty care. • PPO plans give economic incentives to patronize certain physicians, laboratories, and hospitals that agree to supervision and reduced fees. You may incur co-payments as well as deductibles, co-insurance, and out-of-pocket maximums for all covered services. You have flexibility to see providers both in and out of the established plans network; however out-of-pocket costs may be higher for out-of-network providers. • POS plans offer the option of using in- or outof- network providers. The patient selects a primary care physician who manages their care and is responsible for referral to plan specialists. Out-of-pocket costs are similar to those of the PPO plans. • Indemnity plans were originally designed to provide coverage for catastrophic inpatient hospi
• HMO plans typically have a limited network of providers and lower out of pocket costs for services. A primary care physician is usually selected and manages your health care and serves as a gatekeeper for referral to specialty care. • PPO plans give economic incentives to patronize certain physicians, laboratories, and hospitals that agree to supervision and reduced fees. You may incur co-payments as well as deductibles, co-insurance, and out-of-pocket maximums for all covered services. You have flexibility to see providers both in and out of the established plans network; however out-of-pocket costs may be higher for out-of-network providers. • POS plans offer the option of using in- or out-of- network providers. The patient selects a primary care physician who manages their care and is responsible for referral to plan specialists. Out-of-pocket costs are similar to those of the PPO plans. • Indemnity plans were originally designed to provide coverage for catastrophic inpatient hosp