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ENT - ear nose and throat HMO - health maintenance organization. It's a type of insurance where you have to get referrals from someone you designate as your pr
by astura 4y ago
ENT - ear nose and throat
HMO - health maintenance organization. It's a type of insurance where you have to get referrals from someone you designate as your primary care provider.
PPO - preferred provider organization. Another type of insurance where some providers are "preferred providers" who partner with the insurance company to offer reduced rates. You don't need a referral to see a specialist, but many specialists won't see you without a referral anyway.
I have no idea what a "PPO doctor" is, I've never heard of a doctor that only accepts PPOs, that's ridiculous. I guess if a referral is required then the nebulous "they" won't refer you to the "good" ones if you have an HMO?? Except, in practice, you end up at the same handful of providers in your area no matter your insurance. I've had both HMOs and PPOs throughout the years, same shitty doctors on both.
- elteto 4y agoIt’s not the doctor, it’s the network. What OP was saying is that the doctors in the PPO networks seem to be much better than those in the HMO networks.
- secabeen 4y ago> you end up at the same handful of providers in your area no matter your insurance This is very dependent on where you live and the density of providers. If you live in a small-to-medium size city or smaller, your description is accurate. In big cities, it's not; there is a whole set of doctors who don't work with HMOs at all, because they don't have to. They often are the best, most in demand doctors as well.