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PPO - Preferred Provider Organizations

PPO health insurance plans are a hybrid between traditional health care
plans (which allow you to visit any doctor or hospital and have deductibles)
and HMO's which have co-pays.

Unlike a HMO plan, a PPO program allows you to choose any doctor or specialist within the PPO network without a referral from a primary care physician. You don't have to name a primary care physician.

  • PPO's generally provide a card for Doctor visits, which will cover medically necessary, X-rays, and lab tests with a co-pay which can range from $ 10 to $ 25 per visit.
  • Most PPO's have a deductible which will apply in the event of hospitalization or surgery. You may select a deductible of $ 250, $ 500, $ 750, $1000, or higher. The higher the deductible you choose, the lower will be your monthly premium.
  • All PPO plans limit your maximum annual out-of-pocket expenditure, which protects you from financial disaster.
  • Some PPO plans also include a prescription card with co-pays or programs that pay for 90% to 50% of the prescription costs.
PPO's offer quality health care while keeping the monthly premium affordable. Premiums will depend upon individual health, age, smoking habits, residential zip code, and other factors.

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Insurance Information: Professional Liability | General PPO | Benefits of Long Term Care Insurance

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