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HMO Plans or PPO Plans?

When trying to decide between HMO and PPO, the correct choice mainly hinges upon what kind of coverage will better suit your needs, as both have advantages and disadvantages. They share many similarities, so spending a moment to review the benefits of each is well worth the effort. We'll give you an overview of each so that you can judge for yourself.

HMO (Health Maintenance Organization)
An HMO provides a wide range of health care services which commonly include hospital care, physicians’ services and many other kinds of health care services with an emphasis on preventive care. If you enroll in an HMO product, you will be required to select a Primary Care Physician (PCP) from the carrier’s provider network. You will visit your PCP for routine care or when you’re sick. If you have to see a specialist, your PCP will give you a referral in order for your carrier to cover the cost of care.

PPO (Preferred Provider Organization)
A PPO is a health plan with a network of providers who are “preferred”. A subscriber can visit these preferred in-network physicians and do not need to choose a primary care physician. With some PPOs, subscribers can also visit non-preferred or out-of-network providers, but may have to pay a higher fee or co-payment. In general, PPOs are less restrictive, but tend to be a more expensive plan.


Both the HMO and PPO offer good solutions for customers, and finding a plan that best matches your specific needs is well worth the effort.

We can assist you in this.  Please fill out the form on this page or Contact Us.

Phone: (781) 848-4950
Toll Free: (877) 777-4414
Fax: (781) 848-7020
135 Wood Road
Braintree, MA 02184