HMO vs. PPO: understanding health insurance plan types in North Carolina

What is an HMO health insurance plan?

An HMO (Health Maintenance Organization) requires you to choose a primary care physician (PCP) who coordinates your care and provides referrals to specialists. HMOs typically have lower premiums but restrict coverage to in-network providers and require referrals for specialist visits.

What is a PPO health insurance plan?

A PPO (Preferred Provider Organization) allows you to see any doctor, in-network or out-of-network, without a referral. In-network care costs less, but out-of-network care is covered (at higher cost). PPOs offer more flexibility but typically have higher premiums than HMOs.

What is an HDHP and how does it work with an HSA?

A High Deductible Health Plan (HDHP) has lower premiums but a higher deductible. It qualifies for a Health Savings Account (HSA), which lets you contribute pre-tax dollars to pay for qualified medical expenses. HDHPs work well for healthy individuals who want to build tax-advantaged savings.

Does IronHaven offer health insurance in NC?

IronHaven focuses on property, casualty, and life insurance. For health insurance, NC residents can explore the NC Health Insurance Marketplace (healthcare.gov) or work with a licensed health insurance agent. We're happy to help with the property and life insurance pieces of your overall coverage picture.