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These plans are ACA compliant which means they must provide coverage immediately with no waiting periods, and preexisting conditions are excluded. These rates are firm and there may be a price break with more eligible employees participating. This is because the insurance risk is pooled and the law of large numbers allows for more risk to be spread across more people v one person bearing it all. Many hands make light work.
These are usually more restrictive in the access provided because most all decisions are run through a primary care physician in the event that a specialist is needed. You are encouraged to use in-network doctors, facilities and hospitals while not doing so could cause increased out of pocket costs or certain coverage being denied. That is because out of network benefits are not covered under HMOs. This is a great option if the network is large and there are good hospitals in the area.