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Transcript

How PPO Plans Really Work

Presented By: Leslie, Weston, and Phillip

Is it a Health Maintenance

Organization (HMO)?

What is a PPO Plan?

Benefits

A PPO is NOT an HMO because:

  • referrals are not required
  • selecting a Primary Care Physician is not required

A Preferred Provider Organization (PPO) is a health plan with an established provider network (physicians, hospitals, labs, etc.) that has agreed to accept

specific payment levels for specific services.

  • Free to "self-refer" to specialists without referral from PCP
  • Free to select any healthcare provider
  • Lower deductibles
  • Higher reimbursement of expenses
  • Lowest out-of-pocket expenses
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