Which health insurance plan allows members to see any doctor or specialist without a referral?

Study for the Kentucky Health Insurance Exam. Utilize flashcards and multiple choice questions with hints and explanations. Prepare thoroughly and ensure exam success!

A Preferred Provider Organization (PPO) plan allows members the flexibility to see any doctor or specialist without needing a referral. This is a major advantage for individuals who prefer direct access to specialists or have specific healthcare professionals they wish to continue seeing.

PPOs work on a broader network of healthcare providers, and while members can choose to see providers outside of the network, staying within the network provides them with higher levels of coverage and lower out-of-pocket costs. Members appreciate this arrangement as it offers a balance of cost-effectiveness and freedom of choice regarding their healthcare providers.

In contrast, other types of plans like Health Maintenance Organizations (HMOs) typically require referrals to see specialists, which can limit access. Similarly, Exclusive Provider Organizations (EPOs) limit coverage to a specified network of providers but may still require referrals for certain services, while Point of Service (POS) plans combine elements of both HMOs and PPOs but often require referrals for specialist care.

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