EPOs offer a network of participating providers, but they do not include coverage for out-of-network care except for emergencies. If you visit a provider outside of the local network, you will most likely have to pay the full cost of service. However, you do not need a referral from a primary care provider to see a specialist.

These plans combine HMO and PPO plans. The provider network is generally smaller than a PPO plan, and the costs for in-network care are usually lower, like an HMO. With a POS plan, you have to choose a primary care provider. You are required to get a referral for a specialist. However, you can also see specialists in-network and out-of-network, but if you see an out-of-network provider the costs are higher and you must file any claims yourself.

PPOs offer a large network of providers, including doctors, hospitals, and other providers. You can also see providers out of the plan’s network, but you will pay more out of pocket. You are not required to have a primary care provider, and you can see specialists without a referral.

If you find yourself in a time of transition without heath insurance, a short term health insurance plan may be a great option for you. These plans cover medical services for gaps in major medical insurance. They can cover you for one year and be renewed for up to three years. Short term health insurance plans are beneficial for those between jobs, before international travel, extra coverage outside of enrollment periods, or while waiting for Medicare coverage. Coverage varies by plan and by state. Talk to your trusted insurance provider today to see what options are best for you!