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The main difference between Aetna Select Open Access PPO and HMO plans is in the flexibility of choosing healthcare providers. PPO plans allow you to see any doctor or specialist without a referral, but you pay more for out-of-network care. HMO plans require you to choose a primary care physician and get referrals to see specialists within the network.

To choose the best option for your healthcare needs, consider factors like your preferred doctors, how often you need medical care, and your budget. If you want more flexibility and are willing to pay higher costs, a PPO plan may be better. If you prefer lower costs and don't mind staying within a network, an HMO plan could be a good choice.

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