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Preferred
Provider Organizations are another attempt to reduce medical costs.
This is an arrangement whereby a selected group of independent hospitals
and medical practitioners in a certain area agree to provide certain services at
a prearranged rate. The organizers and providers agree upon medical service charges that are generally less than the provider would charge patients not associated with the PPO.
These
differ from HMOs in that the providers are paid on a fee for service basis
rather than receiving a flat monthly amount and the organizer or contracting
agency might be: -
Traditional
insurance companies -
Blue
Cross/Blue Shield -
Local
groups of hospitals -
Local
groups of physicians -
An
existing HMO -
Large
employers -
Trade
unions Those
people who will receive services select a preferred provider from a list that
the PPO distributes.
Usually the choices are more extensive with a PPO than a HMO. Sometimes PPOs and HMOs are lumped together and called a managed care system. One characteristic still exists concerning regulation, however. HMOs increasingly have to meet state requirements as well as standard established by federal government. PPOs are less stringently regulated since any group that can agree on the arrangements can call itself a PPO.
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Introduction To Health Insurance
Summary Of Health Insurance Policies
What Your Policy Should Pay For
Additional Coverage Some Policies May Include
Medical Conditions Your Policy May NOT Cover
Comprehensive (Major) Medical Insurance
Traditional Health Insurance Providers
Domestic, Foreign & Alien Health Insurance Providers
Health Maintenance Organizations (HMO's)
Preferred Provider Organizations (PPO's)
Finding The Best Health Insurance Deal For You
Glossary Of Health Insurance Terms
Locating A Health Insurance Provider
Keeping Health Insurance Costs Low