Preferred Provider Organization

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Preferred Provider Organization

A health insurance plan in which the policyholder receives a discount from the full price if he/she receives medical services from a participating doctor, hospital, or other medical organization. In many ways, a PPO operates like other insurance policies: the policyholder pays a premium each month and, in exchange, the insurance company pays for the cost of medical care, after a deductible and co-insurance. What distinguishes a PPO from other policies is the fact that a group of doctors or hospitals may negotiate a discounted rate with the insurance company. This provides the policyholder with an incentive to receive care from this group. However, medicals services provided by organizations outside the group are also covered. See also: Health maintenance organization.

Preferred Provider Organization (PPO).

A preferred provider organization (PPO) is a network of doctors and other healthcare providers that offers discounted care to members of a sponsoring organization, usually an employer or union.

You may also arrange private insurance coverage through a PPO.

If you're insured through a PPO, you make a copayment for each visit to a healthcare provider, though certain diagnostic tests may not require copayment.

You typically have the option to go to a doctor or other provider outside the network, but you pay a larger percentage of the cost, called coinsurance, than if you used a network doctor.

References in periodicals archive ?
org) is the leading national association of preferred provider organizations (PPOs).
PPO: or preferred provider organization, is one type of managed care insurance that contracts with doctors and other specialists to provide services at a discounted rate.
CONTACT: Steve Ashley for Pacific Regional Chapter of the American Association of Preferred Provider Organization, +1-714-283-3912, jsashleyca@aol.
The American Association of Preferred Provider Organizations is a national trade association representing Preferred Provider Organizations, Exclusive Provider Organizations (EPOs), and Point of Service (POS) plans.
is a managed healthcare company offering nationwide utilization management systems and preferred provider organization (PPO) networks in 39 states.
Pennsylvania's Preferred Health Network (PPHN) is a statewide affiliation of Preferred Provider Organizations (PPOs) comprised of individual, regional provider networks.
We began at ground zero in 1988, and have become the fastest- growing PPO in the region, now representing nearly one million lives and managing a network of 56 hospitals and over 4000 physicians," said Romeo, who also serves as president of the New York/New Jersey Regional Chapter of the American Association of Preferred Provider Organizations (AAPPO) and as a board member on the national board of the AAPPO.
Because of our experience and capabilities in the area of health maintenance organizations and preferred provider organizations, we will be able to demonstrate to current and prospective customers the substantial advantages that we can offer them," said Clapp.
The database includes listings of health maintenance organizations (HMOs), preferred provider organizations (PPOs), Consumer Driven Health Plans (CDHP), Health Savings Accounts (HSAs), utilization review organizations (URs), point-of-service plans (POS), and several other types of managed care organizations.
Founded in 1983, Select Care is one of the Twin Cities' largest and fastest growing preferred provider organizations with 170,000 eligibles.
Its products include traditional health maintenance organization (HMO) products, preferred provider organizations (PPOs) and point of service products (POS).
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