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Your coverage is a tool

Understanding your plan is the first move. Your plan type alone accounts for a 15-20% cost difference.

Same procedure, same hospital — an HMO patient pays $890 while a PPO patient pays $1,420. The plan type alone accounts for a 15-20% cost difference.

HMO

$890

Lowest premiums, lowest out-of-pocket

HMO plans have the most restricted networks but typically the lowest costs. You need a referral to see specialists, and care outside the network usually isn't covered.

PPO

$1,420

Higher premiums, more flexibility

PPO plans let you see any provider without a referral — but you pay 15-20% more out-of-pocket for that flexibility. Out-of-network care is partially covered.

EPO

$1,100

Middle ground

EPO plans combine elements of HMO and PPO — no referral needed, but no out-of-network coverage. Costs typically fall between HMO and PPO.

HDHP

$2,200*

Lowest premiums, highest out-of-pocket until deductible

High-deductible plans have the lowest monthly premiums but you pay the full negotiated rate until you meet a high deductible (often $1,500-$3,000+). Paired with an HSA for tax advantages.

* HDHP cost assumes deductible not yet met. After deductible, costs drop significantly.

Compare plans side by side →

This is for informational purposes only and does not constitute medical or financial advice.