HMO Vs PPO+ Beyond: Assessing The Different Types Of Health Insurance Plans
Preferred Provider Organization (PPO)
A PPO is considered to be the plan that offers the most freedom. You do not need a referral from your PCP to see a specialist, and you can enjoy coverage for out-of-network doctors – but in-network doctors will be the most affordable. There is also typically a much larger network of providers and hospitals in a PPO compared to other plans.
Pros: No PCP referrals required for specialists. Large network of providers.
Cons: High premiums.
Who is it good for? A PPO might be the best plan for someone dealing with health issues who needs to see doctors frequently, and sometimes urgently. It is also a smart plan for those whose preferred doctor is out of network.