HMO (Health Maintenance Organization)
Best for: Maximum savings and predictable costs.
How it works: You’ll have a dedicated Primary Care Physician to coordinate your care within a specific local network, keeping your out-of-pocket costs at a minimum.
PPO (Preferred Provider Organization)
Best for: Maximum flexibility and "no-referral" freedom.
How it works: See any specialist you want without a referral. You’ll save most by staying in-network, but you still have the freedom to see out-of-network doctors if you choose.
EPO (Exclusive Provider Organization)
Best for: A middle ground with lower rates and no referrals.
How it works: You don’t need to manage referrals through a primary doctor, but you must stay within the plan’s network to keep your coverage active.
POS (Point-of-Service)
Best for: Those who want in-network ease with an out-of-network "safety net."
How it works: Enjoy the freedom of an HMO for routine care, with the added option to see out-of-network specialists (with a referral).
HDHP (High Deductible Health Plan)
Best for: Healthy individuals looking for the lowest monthly premiums.
How it works: Trade a higher deductible for much lower monthly payments—often paired with a Health Savings Account (HSA) for tax-free medical savings.
Catastrophic Plans
Best for: Young adults or those who want "worst-case scenario" protection.
How it works: Extremely low monthly costs that protect you from high medical bills in the event of a serious illness or injury.