Being able to choose your doctor is a luxury that insurers will make you pay dearly for.

According to new research from the Kaiser Family Foundation, the cost of preferred provider organization health plans, which allow consumers broader freedom in picking physicians, specialists and hospitals, are less and less common and more and more expensive than in the past.

HMOs dominate on the federal Obamacare insurance exchange. Kaiser's analysis of policies offered in states whose residents must buy insurance through Healthcare.gov found big price differences between silver-level PPOs and silver-level HMOs. More importantly, the price difference between the two is getting greater.

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