4 Types of Health Plans: How They Compare
Point-of-Service Plan (POS)
A POS plan blends features of an HMO with a PPO. With POS plan, you may have:
- More freedom to choose your health care providers than you would in an HMO
- A moderate amount of paperwork if you see out-of-network providers
- A primary care doctor who coordinates your care and who refers you to specialists
What doctors you can see. You can see in-network providers your primary care doctor refers you to. You can see out-of-network doctors, but you'll pay more.
What you pay.
- Premium: With a POS plan, the premium is generally lower than with a PPO plan. This is because you are required to see a primary care doctor to coordinate your care and to refer you to specialists, just like with an HMO.
- Deductible: You pay a higher deductible if you see an out-of-network provider.
- Copays or coinsurance: Your coinsurance is higher, such as 30%, if you see an out-of-network provider compared with an in-network doctor.
Paperwork involved. If you go out-of-network, you have to pay your medical bill. Then you submit a claim to your POS plan to pay you back.
High-Deductible Health Plan With or Without a Health Savings Account
You may be able to pay less for your insurance with a high-deductible health plan. With an HDHP, you may have:
- One of these types of health plans: HMO, PPO, or POS
- Higher out-of-pocket costs than many types of plans, but if you reach the maximum out-of-pocket amount, the plan pays 100% of your care
- A health savings account (HSA) to help pay for your care because the money you put in savings is not taxed
- A moderate amount of paperwork
- To manage your own health care or use a primary care provider, depending on the plan
W hat doctors you can see . This varies depending on the type of plan -- HMO, POS, or PPO
What you pay.
- Premium: An HDHP has the lowest premium compared to other plans.
- Deductible: The deductible is high – between $1,250 and $6,350 for one person or between $2,500 and $12,700 for a family. Like with HMOs and PPOs, your preventive care is free, even if you haven't met the deductible.
- Copays or coinsurance: The kind of health plan you have -- HMO, POS, or PPO -- determines which one you pay.