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Preferred provider organization

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A prefered provider organization, or PPO, is a type of health plan that contracts with medical providers to create a network of providers.[1]

Overview

PPO plans are health plans that contract with medical providers to form a network of providers for the insured. The insured pay less for using providers in the network and may use out-of-network providers for an extra cost. Unlike an HMO plan, members of a PPO plan may still receive some coverage for using out of network providers, though they will typically pay more out of pocket and not all services may be covered. Additionally, PPO plans do not require an enrollee to receive a referral to visit a provider in or out of network.[1][2]

See also

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