Medicare also has both PPO and HMO options. If you are eligible or over the age of 65, you might want to check out Humana’s Medicare PPO plan or Medicare HMO plan. Dental and vision coverage is also available in both PPO and HMO plans. You can learn more about Humana’s dental and vision plans here.
Read a more detailed definition of PPO in our PPO Plans article. HMO Versus PPO: Plan Comparison. HMOs tend to be more affordable, but you’ll usually get less coverage and more restrictions. PPOs are more flexible and provide greater coverage, but come with a higher price tag and probably a deductible.
HMO definition is - an organization that provides comprehensive health care to voluntarily enrolled individuals and families in a particular geographic area by member physicians with limited referral to outside specialists and that is financed by fixed periodic payments determined in advance —called also health maintenance organization.
PPO definition: The definition of a PPO is an abbreviation for preferred provider organization, which means a healthcare system that provides discounts to subscribers for services they receive from certain healthcare providers. (abbreviation) An ex...
Preferred Provider Organization. A health care organization composed of physicians, hospitals, or other providers which provides health care services at a reduced fee. A PPO is similar to an HMO, but care is paid for as it is received instead of in advance in the form of a scheduled fee.
A PPO is a healthcare benefit arrangement that is similar to an exclusive provider organization (EPO) in structure, administration, and operation. Unlike EPO members, however, PPO members are reimbursed for using medical care providers outside of their network of designated doctors and hospitals.
Health maintenance organizations, or HMOs, are a type of health insurance plan. If your coverage is an HMO, you'll need to pick a primary care physician (or your insurer will pick one for you), and that person will serve as a "gatekeeper," meaning that you'll need to see your primary care physician for a referral before you can see a specialist.
HMO stands for health maintenance organization and makes up 16 percent of health plans. It is known for its lower premiums and restricted network of doctors and hospitals, which means you sacrifice flexibility for lower upfront costs. You’ll likely pay less in premiums for an HMO compared to a PPO – sometimes significantly less.
HMO = Health Maintenance Organization: HMOs tend to have lower monthly premiums and lower cost-sharing than plans with fewer network restrictions, but they require primary care provider (PCP) referrals and won’t pay for care out-of-network except in emergencies. PPO = Preferred Provider Organization: PPOs got that name because they have a network of providers they prefer that you use, but ...
HMO vs PPO comparison. A health maintenance organization, or HMO, only covers subscribers' medical expenses when they visit health providers that are part of the HMO's network. Preferred provider organizations, or PPOs, give their subscribers greater freedom to visit out-of-netw...