Different types of private health insurance

Health insurance plans vary by how they work with the networks.

HMO: Health Maintenance Organization

HMO plans are very restrictive. When you purchase an HMO plan, you are asked to pick a primary care physician that is in your network. All of the care you receive is coordinated by your primary care provider. This means if you want to see a specialist, you will need a referral from your primary care provider.

HMO’s have cheaper premiums and do not cover out-of-network health care services.

PPO: Preferred Provider Organization

PPO plans are pretty flexible. They do allow you to choose an in-network doctor at a lower cost or an out-of-network doctor at a higher cost.
You do not need a referral from your PCP to see a specialist. PPO plans often come with higher premiums.

EPO: Exclusive Provider Organization

They are known as hybrid plans because they are a mix of HMO and PPO plans. EPO plans allow you to see a specialist without receiving a referral. They do not cover out-of-network doctors and often have more expensive premiums than HMO’s.

POS: Point of Service

POS plans are also a hybrid of HMO and PPO plans.

-You will have a primary care provider that coordinates your network
-You have access to out-of-network options
-More expensive premiums than HMO’s
-Less expensive premiums than PPO’s.

Cosmo Insurance Agency is an independent insurance agency serving surrounding communities in New Jersey. Cosmo keeps its promise to assure an efficient and creative approach to the services we offer. Each of our clients experience a personalized and long-term relationship with us. Our New Jersey based team of health brokers guides our clients in helping them choose the most cost-effective options. By incorporating the latest in technology-based tools and laws on healthcare, employee benefits, life insurance and finance, we keep our clients up-to-date with the plans that encompass all of their needs, whether it is individual or group insurance.




Posted 3:00 PM

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