What are the Most Common Types of Group Health Insurance Plans?
A traditional HMO offers comprehensive coverage through a network of doctors, hospitals, clinics, specialists and other care providers. When a participant selects an HMO, they must also select a Primary Care Physician (PCP), and will need to request referrals for all specialist doctor visits. These plans typically carry a higher premium price tag, and require co-payments for all doctor
A PPO offers the added flexibility of being able to select any doctor or specialist without the need for referrals. A traditional PPO offers in-network and out-of-network rates for all doctors, hospitals, clinics, specialists and other care providers. Premiums typically cost more than consumer-driven health care plan options, and participants will be responsible for meeting a deductible and paying co-insurance on services rendered.
High-deductible health plans are full coverage health plans that offer significant premium relief, in exchange for a higher deductible. These consumer-driven health care plans are available in conjunction with a tax-free Health Savings Account (HSA).
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