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Insurance Glossary

Glossary: What's A PPO?

A PPO (Preferred Provider Organization) plan offers patients the flexibility to choose physicians from within or outside of the organization's network. If you use the doctors and hospitals listed in the carrier's Provider Directory you receive a richer benefit package.

Many PPO plans come with an office visit co-pay, prescription drug cards and "well-care" coverage for routine physicals and health screenings. Plans usually have a deductible for each member of the family, and coinsurance to a specific "stop loss" amount. (For example; the plan pays 80% of the first $5,000.00 for inpatient, or outpatient procedures).

PPO plans are an excellent coverage choice because networks tend to be very large, offering a wide selection of hospitals and doctors. And, employees may go to "any" doctor or hospital and receive coverage as an out-of-network claim.