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The primary reason is affordability, and the secondary open choice in doctors and hospitals. Many vendors of the precursor MSA required insureds to use only network-listed doctors and hospitals, making them much like the less desirable and restrictive HMO (Health Maintenance Organizations with their Staff Models or IPAs – Independent Physician Associations), or the slightly less restrictive PPO (Preferred Provider Organizations). The reason they did so is because such networks provide Insurers with pricing discounts that “may” be passed onto the consumer, either by increased benefits, lower policy premiums, or both.
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