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PPO Network Access for High Earners: What You Give Up (and Gain) Moving From ACA to a Private Plan

Quick answer: Many ACA marketplace plans use narrower HMO or EPO networks with referral requirements and little or no out-of-network coverage. Private plans from major carriers frequently offer broader PPO networks with out-of-network benefits and no referrals. The trade-off is that private plans are medically underwritten, so coverage isn’t guaranteed, and they aren’t HSA-eligible. If […]