Is An HMO Plan Right For You?

Health Management Organizations have become a popular option for many people, mainly because they provide access to quality care — at prices much more affordable than traditional health plans.

Should you choose an HMO? It may your best option, if:

• You want to limit your out-of-pocket costs
  HMOs feature low co-payments. Trips to the doctor and prescriptions often only cost $10. Other plans can have co-payments of $50 or more, or may require you to pay a percentage of the total cost.

• You don’t want to pay a deductible
  One of the biggest healthcare expenses in other plans is the deductible — the amount that must be paid before your coverage starts. Traditional and PPO plans can have deductibles of several thousand dollars. HMOs don’t charge a deductible, so included services are fully covered from day one.

• You have a pre-existing or chronic condition
  Some HMO plans let you designate a specialist as your primary care provider. This means that you’re only responsible for your low co-payment to get regular care for your condition. Plus, HMOs don’t have lifetime maximums. So if your condition gets worse, you’re less likely to be stuck paying for expensive care by yourself.

• You have easy access to in-network providers
  HMOs will only cover healthcare services that you receive from providers within their network. So you should make sure there are network providers in your area before you enroll. If none of the doctors and hospitals in your area are members of an HMO network, you may be better off with a traditional health plan. Some PPO plans have larger networks — so explore that option if none of the HMOs work for you.

Finding Your HMO Plan

HMO plans are available in almost every state. Many different insurance companies offer them, so the benefits and costs vary. The best way to decide which one is right for you is to work with a professional insurance agent.

Our service will connect you with insurance agents in your area — for free. All you need to do is fill out a short form to request free insurance quotes, and we’ll match you with professionals in your area. They’ll answer your questions, and find you a plan that fits your needs.