Preferred Provider Organizations (PPO)
PPO health insurance plans give you the option to choose your healthcare provider. This means that a PPO member does not have to seek care from a physician that is a part of the PPO network, as is the case for HMO plans. However, there are financial incentives to choose a networked PPO physician.
By choosing a physician from within your PPO network, you may be reimbursed for up to 90% of the care, but only up to 50% for treatment provided by a non-networked PPO physician. To avoid paying an extra 30% of out-of-pocket expense, many patients choose a PPO network physician.
Another advantage of a PPO health insurance policy is that there is a limit to the amount of out-of-pocket costs that are paid. The usual out-of-pocket cost for an individual who receives care from a PPO provider is limited to $1,200 and $2,100 for a family. PPO'S out-of-pocket costs are substantially lower than that of many HMO plans
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