1. 11498 POINTS
    Jason Goldenzweig
    Co-Founder, TermInsuranceBrokers.com, Goldenzweig Financial Group, Las Vegas, Nevada
    The main difference is an HMO (Health Maintenance Organization) has a more restricted network and you may need to have a designated primary care physician for your plan. Also, if you need to go see a specialist, you will likely need a referral from your primary care physician in most circumstances.

    A PPO (Preferred Provider Organization) will generally have a broader network and would not require a referral to see a specialist.

    The premiums for PPO plans will generally be higher than an HMO. If you can afford a higher premium, you may want to go the PPO route. If you have a very tight budget and you need to keep your premiums to a much lower figure, an HMO may be more suitable.

    Also, you may not have many options for health insurance in some areas. You're generally going to have more options living in an urban area than a very rural one - not every carrier will offer every network type either under the new affordable care act.

    I hope the information is helpful - please feel free to contact me for assistance with your coverage and if you have any other questions. Thanks very much.
    Answered on July 14, 2014
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