When we are children, we don’t think very much about medical insurance. We know that if we are sick or hurt we should go to the doctor. However, once we reach adulthood, we learn that there is an entire process behind the act of visiting a doctor that depends on the type of medical insurance we have. There are several different types of medical insurance that we can choose from depending on our medical needs. Here are some facts that will help you choose the kind of medical insurance that is right for you.
Health Maintenance Organization (HMO) medical insurance
- HMOs are one of the most common medical insurance plan types.
- HMO medical insurance requires the insured to choose a primary care physician within their service network. The primary care physician coordinates the insured’s medical needs.
- In order to get a visit to a specialist covered by medical insurance the insured must get a referral from his primary care physician.
- HMO medical insurance will not cover medical procedures by service providers outside of their network except in the case of emergencies.
Preferred Provider Organization (PPO) Medical Insurance
- The insured does not have to pick a primary care physician to use PPO medical insurance.
- The insured is encouraged to use service providers within the service network of the PPO medical insurance.
- The medical insurance may only cover part of the cost of services form service providers out of network or the cost for service providers out of network may be more expensive than the cost for the same care by service providers within the medical insurance network
Exclusive Provider Organization (EPO) Medical Insurance .
- EPO medical insurance is similar to HMO medical insurance except the insured is not required to select a primary care physician.
- The insured does not require a referral to see any service provider within the EPO medical insurance network.
- The insured must only see service providers within a limited network. The medical insurance might not cover costs of any care outside of network even in cases of emergency care.