A common question asked is what’s the difference a PPO and HMO plan? PPO stands for Preferred Provider Organization and HMO stands for Health Maintenance Organization.
A PPO health plan contracts with a network of providers from which you choose. You do not need to select a PCP and you do not need referrals to see other providers in the network. If you receive your care from a doctor in the preferred network you will only be responsible for your copayment for your visit. If you get health services from a doctor or hospital that is not in the preferred network (known as going “out-of-network”) you will pay a higher amount. And, you may need to pay the doctor directly.
With an HMO plan you must choose doctors, hospitals, and other providers in the HMO network. You will need a referral from your PCP to see a specialist (such as a cardiologist or surgeon) except in emergency situations. Your PCP also must refer you to a specialist who is in the HMO network.
Cosmo Insurance Agency is a full-service independent insurance agency based in Hackensack (Bergen County) and Lakewood (Ocean County), New Jersey that offers an all-encompassing range of insurance options for both individuals and businesses. Cosmo keeps its promise to assure an efficient and creative approach to the services we offer. Each of our clients experience a personalized and long-term relationship with us. Our New Jersey based team of health brokers guides our clients in helping them choose the most cost-effective options. By incorporating our knowledge of the insurance guidelines for healthcare, employee benefits, life insurance, self-insurance, dental, disability, and long term care insurance, we keep our clients up-to-date with affordable plans that cover all their specific insurance needs.
