HMO
Lower cost, PCP referrals required, in‑network focus.
Check plan types, typical costs, and enrollment basics. Independent and ad‑supported—we don’t sell your data.
Options for self‑employed and freelancers.
How to balance premiums and out‑of‑pocket costs.
Parts A–D and Medigap explained.
Eligibility varies by state and income.
Premium tax credits & CSR basics.
Metal tiers, deductibles, HSAs, networks.
Lower cost, PCP referrals required, in‑network focus.
More flexibility, no referrals, higher premiums.
No referrals; in‑network only (except emergencies).
See marketplaces, subsidies, and plan notes where you live.
Who qualifies and what documents you may need.
Tradeoffs in flexibility, referrals, and premiums.
Metal tiers, deductibles, HSAs, and network choices.
Educational overview only—see more providers.
HMOs usually require referrals and stick to in‑network care, keeping costs lower. PPOs allow more flexibility and out‑of‑network care at higher costs.
Most people enroll during annual open enrollment. You may qualify for a special enrollment period if you have a qualifying life event.
Consider higher deductibles, evaluate HSA‑eligible HDHPs, and check eligibility for subsidies or state tax credits.