Division of Human Resources

Medical Plan Considerations

The following may be consideration when choosing a medical plan for you and your family:

  PENNCare/Personal Choice UPHS POS HMOs
  Preferred Provider Non-Preferred Provider Referred Self-Referred
I have an established relationship with a doctor who is not a provider in any of the PennChoice Plans and I want direct access to this physician   X   X  
My doctor is already a member of the HMO, PENNCare/Personal Choice or UPHS POS Plan X   X   X
I want to choose my doctors and hospitals without being limited to a network provider   X   X  
My family and/or I visit the doctor for many routine preventive care services X   X   X
I or someone in my family have scheduled a surgery that requires hospitalization and I want to minimize my cost. X   X   X
I want to reduce my out-of-pocket costs, but I am not sure I will like being in an HMO X   X    
I want to go to the hospital of my choice   X   X  
I do not want to pay a lot for my insurance because I don't use much healthcare     X   X
I do not want to file claim forms X   X   X
I do not have a physician and want help finding one X   X   X