09/03/2026
Open enrollment is coming—and HMO, EPO and PPO aren’t just insurance alphabet soup! 🩺
These letters describe how a plan’s provider network works:
🔹 HMO: Usually requires you to use a specific network of doctors and hospitals. You may need to select a primary care doctor and obtain referrals for specialists.
🔹 EPO: Also uses a specific provider network, but referrals usually aren’t required. Coverage outside the network may be limited, depending on the plan.
🔹 PPO: Generally offers a larger provider network and more flexibility to receive care outside the network—but that flexibility may come with higher premiums and out-of-pocket costs.
There isn’t one type that is automatically best for everyone. The right fit depends on your doctors, preferred hospitals, travel needs and budget.
As open enrollment approaches, I’ll be sharing more information to help make health insurance a little less confusing. 💙
🚨 Important: Regardless of whether your major medical plan is an HMO, EPO or PPO, emergency care is covered even when the emergency provider or facility is outside the network. Your plan’s emergency-room deductible, copay or coinsurance may still apply.