The cost of medical care is expensive, but a good insurance policy can help you save, whether you’re looking for emergency coverage or have a pre-existing condition that requires frequent appointments. While many people can get health insurance through their employer, it’s not always an option. If you’re searching for private coverage, navigating through the options available in the marketplace can quickly become confusing. Before you speak with your insurance agent, keep a few details in mind when considering when shopping for a policy.

Health Maintenance Organization (HMO)

An HMO is designed to simplify your medical treatment. You’ll work with a single primary care physician in your network who will then coordinate treatment with specialists, should you need additional services. This means, you won’t have to search around for the right doctor to handle a complicated procedure—your primary care doctor will handle it for you. Keep in mind that if you choose an HMO plan, your policy will not be covered if you go to a doctor outside of the designated network.

Preferred Provider Organization (PPO)

PPO plans give you more flexibility in treatment options, allowing you to see doctors and specialists both in and out of network. This is ideal if your family members prefer different doctors, but it does come with a higher monthly premium. Though your premiums will be higher, your deductible and out-of-pocket expenses will often be lower. If you see a doctor regularly or have a pre-existing condition requiring extensive treatment, a PPO may be best.

Exclusive Provider Organization (EPO)

EPO plans allow you to only see doctors inside of your network. Like an HMO, any treatment you receive outside of the network will be your responsibility. If you’re considering an EPO plan, make sure the one you choose has a large network. The more doctors you have to choose from, the more likely it is for you to find a provider you trust. These plans often have lower monthly premiums and higher deductibles, making it an affordable option for individuals not planning to use their insurance frequently.

Point of Service (POS)

Like an HMO, a POS health insurance plan requires for you to designate a primary care physician to oversee your treatment and refer you to specialists as needed. However, unlike the HMO plan, these doctors can be out of network. If you choose a POS policy, you’ll have to pay more for the treatments you receive out of network. However, your insurance will likely cover a part of the cost, reducing your out-of-pocket expenses. If you’re looking for a versatile plan that will allow you to see doctors you want, regardless of their network, this may be your best option.

At Stephen Hall – Farmers Insurance in Mountain Grove, MO, our experienced agents want to help you get the best health insurance for your needs. Call (417) 926-7900 to schedule a consultation, or visit our website for a free, no-obligation quote for a new health, life, or auto insurance policy.