You may have the option to enroll in a new insurance plan through your employer. Employers often offer two common medical plans, including a Health Maintenance Organization (HMO) plan or a Preferred Provider Organization (PPO) plan.
Health Maintenance Organization (HMO) Plan
- An HMO is a type of managed care health plan consisting of a network of doctors and hospitals dedicated to providing high-quality, affordable health care.
- When enrolled in an HMO, a primary care physician (PCP) coordinates all of your care and refers you to network specialists when needed. HMO plans usually limit coverage to care from doctors who work for or contract with the HMO. It generally won’t cover out-of-network care except in an emergency.
- An HMO may require you to live or work in its service area to be eligible for coverage. HMOs often provide integrated care and focus on prevention and wellness.
Preferred Provider Organization (PPO) Plan
- A PPO plan is a type of managed care health plan that allows you to see any doctor of your choice, offering both in-network and out-of-network coverage.
- Under a PPO plan, your out-of-pocket costs will be lower when using in-network providers.