PPO stands for preferred provider organizations. This type of health insurance plan consists of exactly that: physicians, hospitals, and other healthcare professionals teaming up with insurance providers to create a network of participating medical care providers who will offer their services to subscribed participants at a reduced rate.
How Does a PPO Work?
PPOs provide flexibility and accessibility to care providers that other health plans do not offer. Participants have the option to select any provider within their network, whether they are located in their home city, state, or elsewhere. They may even select a specialist of their choice without the need for a referral from a primary care physician. Additionally, participants may opt to receive care from an out-of-network provider, with the understanding that out-of-network physicians or facilities generally require added expense on the part of the patient.
How Do You Know If a PPO Is Right for You?
If you are trying to decide how to handle PPO plans, the experts at iSure Insurance Agency recommend connecting with your group health broker and discussing the pros and cons of this plan. While PPOs typically have higher premiums and may often require pre-authorization before covering some procedures or diagnostic testing, they are an excellent option for patients who want convenience and freedom when it comes to their healthcare provider.
Like all managed care offerings, a PPO has its pros and cons. For many, however, the adaptability it provides is an outstanding asset to their personal health management.