健康保險

Health Plan Types Comparison Chart

Cost?
What will I pay?
If I use out-of-network providers, will my care be covered? (In the case of emergencies and when care is not available in-network, out-of-network providers should be covered.)
Do I have to designate a primary care physician (PCP)?
Do I need a referral to see a specialist?
This plan is best for people who:
健康維護組織(HMO)
Usually the lowest cost of all plans.
  • 尊享版
  • Copay
  • 自付額
  • No
    Yes
    Yes
  • are on a tighter budget
  • have few medical issues
  • are fine going to their PCP for all health services
  • 獨家服務提供者組織(EPO)
    Usually lower cost than a PPO.
  • 尊享版
  • Copay or coinsurance
  • 自付額
  • No
    No
    No
  • have price flexibility
  • do not want to designate a PCP
  • 首選醫療服務提供者組織(PPO)
    Usually the highest cost of all plans.
  • 尊享版
  • Copay
  • 共同保險
  • Yes, but you will pay a higher percentage of the cost if you go out-of-network.
    No
    No
  • have price flexibility
  • require more medical care
  • want freedom to choose any doctor, specialist, or hospital
  • 服務點(POS)
    Usually lower cost than a PPO.
  • 尊享版
  • Copay
  • Sometimes coinsurance
  • 自付額
  • Yes, but you will pay a higher percentage of the cost if you go out-of-network.
    Usually
    Usually
  • are on a tighter budget
  • want the option to go to out-of-network doctors or specialists
  • 本辦公室

    芭芭拉·喬丹大樓

    國會大道 1601 號,3.500 室

    德克薩斯州奧斯汀市 78701

     

    1-(877)-611-6742

    help@opic.texas.gov