Here’s a primer on the kinds of plan Community Health Options offers:

• HMO stands for “Health Maintenance Organization,” which gives you access to a specific group of preferred providers who are part of a specific network and considered “in-network.” Generally, HMOs won’t provide coverage for those providers who are not in that network or considered “out-of-network,” except for an emergent condition in an emergency department.
• PPO stands for “preferred provider organization,” and you usually pay less if you see an in-network preferred provider but can use out-of-network providers by paying a higher price.
• HMO Tiered plans feature a network of preferred providers that meet or exceed Community Health Options quality, price and efficiency standards, offering higher quality at a lower cost, but allow Members can also receive care from standard providers at standard costs, but do not have out-of-network coverage.

Beyond selecting a plan type, you can also consider the category, or metal level, ranging from Bronze, which has the lowest premium but higher out-of-pocket costs, to Platinum, with a higher premium, and lower cost for medical care. Learn more about these levels here.

Want to talk with someone about which plan to choose for you and your family? Call us at (855) 624-6463 from 8 a.m. to 6 p.m., Monday through Friday, or email us and we’ll get back to you.

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