A Preferred Provider Organization, or PPO, is a healthcare plan that allows you to choose your medical provider, regardless of their network affiliation. It offers more flexibility to members but is also more expensive than an HMO. At Aspen Gold Insurance Brokers in Denver, CO, we’re familiar with the advantages and disadvantages of joining a PPO.
Why PPOs Are More Expensive Than HMOs
HMOs and similar healthcare plans focus on creating a network of providers to reduce treatment costs and make insurance affordable. The HMO is a closed system in that you have to choose a doctor or specialist within the network. If you want to see your regular doctor, you have to find out if they’re within the HMO before signing up.
In contrast, a PPO is more expensive because you can select your medical provider regardless of their network affiliation. This makes the premium higher than the HMO, but allows you to keep your physician of choice. The PPO pays its share of the bill the same as if you were in an HMO.
Joining a PPO can make financial sense, especially when an extensive relationship with the physician exists. Starting over with a new physician in an HMO can put you at a disadvantage because you may need to repeat some tests or spend more time explaining your health issues, and hope the physician understands your concerns. In this situation, spending the extra amount on the PPO makes sense because you’re expending less time and effort to maintain your health.
Contact Us Today to Find Out if a PPO is Right For You
At Aspen Gold Insurance Brokers in Denver, CO, we’re available to discuss the financial implications of a PPO over an HMO. We’re ready to answer your questions, guide you through your options, and help you get into a PPO that best suits your needs.