PPO Plans 2012-06-30T19:27:13+00:00

PPO Plans

Preferred Provider Organization, or PPO, is a type of managed care health insurance plan that utilizes a network of physicians and facilities contracted by the insurance carrier to provide services within negotiated price boundaries. When an insured member receives treatment from a participating provider, the only costs that member is responsible for paying is pre-determined co-payments for each visit varying upon whether the provider is a primary care or specialist from the network or outside it. This type of plan allows for predictable out-of-pocket expenses for the member based upon coinsurance and annual deductibles. The insurance carrier pays the remainder to the provider without further involvement of or obligation to the insured member.