PPO |
PPO Preferred Provider Organization |
A PPO is similar to an HMO, but care is paid for as it is received instead of in advance in the form of a scheduled fee. PPOs may also offer more flexibility by allowing for visits to out-of-network professionals at a greater expense to the policy holder. Visits within the network require only the payment of a small fee. There is often a deductible for out-of-network expenses and a higher co-payment. You will have a primary physician within the network who will handle referrals to specialists that will be covered by the PPO. After any visit, you must submit a claim and you will be reimbursed for the visit minus your co-payment.
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