Understanding Your Medical Insurance Choices

If you have ever been injured or involved in a medical emergency, you know how important health insurance can be to help you cover your costs. However, with the variety of medical insurance options available today, it is easy to get overwhelmed when trying to pick the coverage that best suits your needs. If you are attempting to choose between an HMO and a PPO for your healthcare coverage, consider the benefits as well as the disadvantages of both.

An HMO is a health maintenance organization. This type of coverage is popular because it is very cost effective, with low or even free co-payments on doctor’s visits. However, these plans often have many restrictions in place that make it difficult for patients to get the care they need when they need it. In an HMO, certain healthcare organizations have a contract with an insurance provider to provide services for a reduced rate. People insured under the HMO must choose a primary care provider within the network and must visit this doctor for all general healthcare needs. If the patient needs to see a specialist, they must get a referral from the primary care provider.

A PPO is a preferred provider organization. PPOs are generally much less restrictive than HMOs. Patients need not select a primary care provider and instead may visit any in-network doctor. If the patient wants to visit an out-of-network provider, the visit may still be covered in part by the insurance, just with a higher cost. In addition, a patient needs no referral to visit a specialist. The disadvantage of PPOs is that they are generally more expensive than HMOs. However, many people choose them because of the more extra control they have over their own healthcare choices.

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If you have been injured in an accident, your insurance company may not cover all of your medical costs and you may be entitled to compensation for your losses from the party responsible for your injuries. To speak to a knowledgeable Iowa personal injury lawyer, contact the offices of LaMarca Law Group, P.C., at 877-327-2600.

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