Final answer:
To determine the type of policy you have, you need to refer to the Benefits/Explanation of Benefits provided by your health insurance plan. The most common types of policies include Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Point of Service (POS) plans.
Step-by-step explanation:
Based on the Benefits/Explanation of Benefits provided by your health insurance plan, you need to determine what type of policy you have. Common types of health insurance policies include Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Point of Service (POS) plans.
In an HMO, you must select a primary care physician (PCP) and get referrals from them to see specialists. You will have limited out-of-network coverage and will usually need to go through your PCP for all healthcare services.
In a PPO, you have more flexibility to see any healthcare provider, both in-network and out-of-network, without a referral. However, going out-of-network will typically result in higher out-of-pocket costs.
A POS plan combines features of HMOs and PPOs. You choose a primary care physician, like in an HMO, but you also have the option to go out-of-network, like in a PPO. However, going out-of-network will usually require a referral from your PCP.