PPOs have benefits for network and out-of-network care. PPOs do not require you to select a primary care physician. 80 percent coverage for most expenses and services. $3000 per person and $7500 per family out-of-pocket maximum.
Most HMOs have benefits for network services only and require you to select a primary care physician. You must have referrals to see specialists. Office visits, hospital expenses, additional medical services, Emergency room services are covered at 100 percent after a specified copayment per visit.