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	<title>eHealth Planner &#187; HMO</title>
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		<title>HMO vs POS vs PPO vs HDHP</title>
		<link>http://ehealthplanner.org/hmo-vs-pos-vs-ppo-vs-hdhp/</link>
		<comments>http://ehealthplanner.org/hmo-vs-pos-vs-ppo-vs-hdhp/#comments</comments>
		<pubDate>Mon, 21 Sep 2009 18:55:23 +0000</pubDate>
		<dc:creator>Scott</dc:creator>
				<category><![CDATA[Group Health Plans]]></category>
		<category><![CDATA[Health Insurance FAQ's]]></category>
		<category><![CDATA[Individual Health Plans]]></category>
		<category><![CDATA[HDHP]]></category>
		<category><![CDATA[HMO]]></category>
		<category><![CDATA[HSA]]></category>
		<category><![CDATA[POS]]></category>
		<category><![CDATA[PPO]]></category>

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		<description><![CDATA[A huge source of confusion for the health insurance consumer is the difference between all the types of plans &#8211; hopefully this will help you understand them a little better: HMO &#8211; Health Maintenance Organization An HMO requires you to designate a primary care provider (PCP), who serves as a &#8220;gatekeeper,&#8221; providing general health care [...]]]></description>
			<content:encoded><![CDATA[<p>A huge source of confusion for the health insurance consumer is the difference between all the types of plans &#8211; hopefully this will help you understand them a little better:</p>
<p><strong>HMO &#8211; Health Maintenance Organization</strong><br />
An HMO requires you to designate a primary care provider (PCP), who serves as a &#8220;gatekeeper,&#8221; providing general health care and referrals to in-network providers as needed. It is more restrictive than a PPO in that if you go to a doctor who is not in the network or even see an in-network specialist without a referral, your expenses will not be covered.</p>
<p><strong>PPO (Preferred Provider Organization)/POS (Point of Service)<br />
</strong>A PPO or POS plan means you can decide at the point of service&#8211;that is, when you need health care&#8211;whether to see an in-network provider and receive a higher level of benefits or an out-of-network provider and receive a lower level of benefits. You may see specialists without a referral, and switch between in-network and out-of-network providers. You do not need to designate a PCP.</p>
<p><strong>HDHP (High Deductible Health Plan)</strong><br />
An HDHP is a fast growing option &#8211; because it is typically much cheaper than the other health plans.  Just like its name suggests, an HDHP has a much higher deductible (between $1,500 and $5,000).  While this may seem like a lot, it should be noted that often, there is no <a href="http://ehealthplanner.org/what-is-coinsurance/">coninsurance</a>, meaning that once your deductible is paid, your remaining expenses are covered 100%.  In fact, this is a requirement for an HDHP to qualify for an <a href="http://healthsavingsaccounthsas.com/">HSA</a>.</p>
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