What’s the difference between an HMO and a regular Preffered Access Health Insurance?

One Comment

1. Insurance Biz CT says:

   June 27, 2009 at 10:24 am

   If you elect the HMO, you will agree to use the network of doctors, or receive no benefits – you will have to pay 100% of any bill. If you use a “Preferred Access” plan, your out-of-pocket responsibility is lower if you use the insurane company’s network physicians and facilities. However, if you don’t you will be reimbursed, usually after meeting a deductible, and then, only a percentage will be paid. This is until you reach the “out-of-network” maximum “out-of-pocket”.

   Insurance companies are always giving you financial incentives to go to where they get the best deal on care.

   If the information from your employer is inadequate for you to make a decision, ask to speak with the broker/agent that handles the case.