Types of Health Insurance

Which type of health insurance requires you to choose a primary care doctor and obtain referrals to see a specialist but allows out-of-network coverage at a higher cost?

• Health Maintenance Organization (HMO)

• Preferred Provider Organization (PPO)

• Point of Service (POS)

• High-Deductible Health Plan (HDHP)

High-Deductible Health Plans (HDHPs) are unique because they:

• Require a primary care doctor and referrals

• Have a high deductible but low monthly premiums

• Limit coverage to in-network providers only

• Cover out-of-network providers at a higher cost without referrals

Which of the following is a key advantage of employer-sponsored health insurance?

• Employees can select any type of plan available in the marketplace

• Employers often cover part of the premium cost

• Employees do not need to meet health qualifications

• Both B and C

An HMO (Health Maintenance Organization) plan typically allows you to visit any doctor or specialist without referrals.

• True

• False

Individuals can purchase private health insurance directly, but they may need to meet certain health qualifications, unlike with employer-sponsored plans.

• True

• False

Which of the following statements about a PPO (Preferred Provider Organization) is true?

• A PPO restricts coverage to in-network providers only

• PPO plans require referrals to see specialists

• PPO plans allow out-of-network care, but it may come at a higher cost

• PPO plans have no deductible

Which of these types of insurance allows the use of a Health Savings Account (HSA) to cover out-of-pocket medical costs?

• HMO

• PPO

• HDHP

• POS