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In addition, you can go out-of-network and pay slightly more. Understanding plans. Usually the least expensive choice. Your PCP and providers handle the paperwork. Very limited coverage out of the HMO's service area. Seeing an out-of-network provider usually means you will pay the entire cost.
BlueChoice HMO. Point of Service POS. Includes benefits of an HMO and access to out-of-network providers. When you use your PCP to coordinate care, you'll pay the lowest cost and they'll handle the paperwork.
Copayments for in-network services are known in advance. Deductibles may apply in some plans. Using out-of-network providers will cost you more. Coverage for out-of-area services will vary; check the plan carefully to understand costs.
Large choice of providers. No referrals required. You are not required to choose a PCP. Preferred Providers will usually handle paperwork for you. Coverage for out-of-area services is usually included; check the plan carefully to understand availability and costs. Many out-of-network services will require that you pay a deductible and coinsurance. When you need lab work done, you can choose the most convenient location under a PPO network.
If you need a lower monthly fee, consider an HMO plan. If you travel frequently and are more likely to need care while away from home, especially if you are living with a chronic condition, or enjoy high-risk hobbies such as certain sports, you may need a PPO to provide the best coverage for your needs.
If you need a lot of specialist care, say you are managing a rare or chronic condition, you may also prefer the ease of choosing specialists and seeing them right away that you get with a HMO plan. If you mostly get care in your home city or mostly from your family physician, an HMO is more likely to provide the right coverage for you.
If you would like to keep your doctor, you can determine whether he or she is in-network under an HMO plan, a PPO plan or both. Choosing the right health plan can give you peace of mind, knowing that your insurance plan has your health needs covered. Get a Quote. Skip Navigation. Login Register. Have questions about health insurance? Explore our Insurance Basics pages. Need Insurance? Log In or Register. Things to consider when choosing between HMO and PPO: To choose the right plan for you and your family, you may want to consider the following: Do you need a lower monthly payment?
Do you stay close to home, or do you travel a lot? If you already have a doctor you like, does the plan you are considering cover visits with him or her?
WebCareFirst offers a variety of plan types (HMO, POS, PPO). Plan types refer to how plans provide coverage and from which network of providers you receive care. Review the . WebHealth Spending Account Resources. CareFirst offers BlueFund, a suite of consumer-directed health care (CDH) products designed for pairing with high-deductible health . WebServing Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. Group .