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August 9, 2019

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The Different Aspects of PPO Vs POS Insurance Plans

Studies state that many people do not have any type of health insurance. There is the need for an individual to know that there are two famous options of health insurance which are the PPO and POS plans. For one to know which would fit them the most, then it is significant that they read through the information below.

Firstly is the Preferred Provider Organization that is famous. For this healthcare plan, there are providers in a particular location that give the services to the customers. The total healthcare cost of the customer is totally reduced given that PPO plans offers the services at a discounted rate. With PPO, an individual will co-pay once they get the services and the other is paid by the insurance company. Even when an individual gets the healthcare service from an outside provider from the PPO, their bill will still be paid, but will be a low price.

The benefit of PPO is that, there is so much flexibility given that an individual has no worry of selecting a primary physician or to get a referral in order to see a specialist. Getting a provider out of the network is also a possibility. With PPO plan, an individual is sure of saving time and that they won’t indulge in so much paperwork. Apart from being pricey, if an individual settles for a provider out of the network, it is sure that the prices go up faster.

The second health insurance plan is the Point of Service plan and it is not very popular. With this plan, an individual will need to choose a primary care physician that will cater for all the health needs that they have and also get referrals from. Consequently, if one gets the healthcare services from a provider that is not within the network, then the cost is high.

The merit of POS plan is that they are inexpensive in comparison to PPO plan. For one who need not select a primary care provider, this plan is the best. There are also cons that are associated with this plan first being that it is not flexible.

In the event that and individual does not find any of the plans pleasing, then they could consider other options. First is the Health Maintenance Organization which is considered to be similar to the POS and one has to choose a primary caregiver. Spending more money is significant if one outsources healthcare services. If an individual needs a cover for a few months, then Short-term Health Insurance is the best option. One has to also be aware of the High-deductible Health Plan which requires them to pay a specified amount for the cost of the claim that they have to be cleared by the insurance.