Choosing Health Care Insurance - PPO Vs HMO

When will the Obama Health Care Reform Plan, are likely to dramatically change your health insurance choices. Whether these changes are good or bad, not yet to be determined. In the meantime, you have the choice. Your first choice is vs. Preferred Provider Organization Health Maintenance Organization (HMO vs. PPO)? "

Whether you are offered health insurance through your employer, or obtain coverage on your own, it isimportant to know the difference between HMO and PPO health insurance wants to make the best choice for you.

The decision, which is the better alternative to help you, a fair comparison of not only the health insurance rates, but also has features to make the plans.

So what's HMO insurance and what is a PPO?
Health Maintenance Organization (HMO)

Health Maintenance Organization (HMO) is a type of managed care -- Organization (MCO). The HMO has to give a network of providers, including physicians, medical groups, laboratories and hospitals that contract with the organization, the care for the insured. Through the contract with the company, doctors and hospitals agree to follow specific guidelines HMO. The guidelines contain a list of fees for services.

A primary characteristic of an HMO is that manages members must choose a family doctor (PCP), which is essentially the insured> Health care. The PCP is usually a general practitioner, family physician or internist. With most HMOs prior to seeing a specialist, the insured must obtain a referral from their PCP. Unapproved visits are not covered.
Preferred Provider Organization (PPO)

A Preferred Provider Organization (PPO) is an organization of medical providers together. Provider contract with the PPO to provide services at a reduced rate. The fees are negotiatedbetween the organization and the providers. PPO are paid by the insurance company for the use of their network.

PPO usually offer coverage in-network provider. But you have the option of seeing out-of-network doctor, but at a higher cost out of pocket.
HMO vs. PPO - Major differences

Following are the main differences between an HMO and PPO:

* Premium - annual premium for an HMO are generally lower than PPOPlans.

* Flexibility - HMOs typically require visits to your primary physician before seeking care from another physician / health care provider. PPO offers more flexibility with a larger provider network and see the possibility of out-of-network provider. Referrals and pre-approvals are not public postal operators have to make them more comfortable.

* Cost structure & claim processing - the HMO cost is considered to be simpler than that of a PPO. PPO often leadDeductibles, co-payments and deductibles. You may receive invoices directly from the manufacturer and claim processing is a bit more complicated. With an HMO, the insured is usually responsible for the office visit copays without the need to submit claims.

Ultimately, I believe that the deciding factor comes down to the flexibility of a PPO or an HMO, simplicity.

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