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Preferred Provider Organization

from About.com Money

Traditional Indemnity Health Insurance Plans

PPO or Preferred Provider Organization Health Insurance Plans

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A dental PPO – preferred provider organization – is a individual dental insurance plan that uses a network of contracted dentists to provide a better value. Like a medical PPO, the dentists on the dental PPO network have agreed to a discount dental plan set of fees that have been established to be below the usual geographic area.

Surprise medical bills have become a crippling financial problem for thousands of Californians with preferred provider organization plans, or PPOs. Jeff Vaughn reports.

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2012 MILLIMAN MEDICAL INDEX. The annual Milliman Medical Index (MMI) measures the total cost of healthcare for a typical family of four covered by a preferred provider organization (PPO) plan. The 2012 MMI cost is $20,728, an increase of 6.9% over 2011.

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When you apply for some kind of health insurance, choose the company that is best for you. Preferred Provider Organizations (PPOs), on the other hand, are a bit more flexible. They have a network, but you can visit doctors outside the network. You will be charged a fee if you do, though. Another plan, the POP, lets you choose a doctor that is a PCP; however, he can also refer you to an out of network doctor. www.amerliberty.com

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from Houston Chronicle

Insurer cutbacks squeeze patients out of high-end care

More than 88,000 people in the Houston area have lost plans from Blue Cross and Blue Shield of Texas for 2016, potentially cutting off some of the most seriously ill from the top-tier medical care the city has built its reputation on. Last summer, the state's largest insurance carrier dropped all preferred provider organization plans from both the Affordable Care Act's federal exchange in Houston and the private individual market. [...] with only weeks to go before existing plans expire…

from Forbes

Fewer PPOs On Obamacare Exchanges Mean Less Doctor Choice In 2016

When consumers enroll for 2016 health coverage via exchanges under the Affordable Care Act, they are less likely to find a preferred provider organization (PPO) plan, which could limit their doctor and hospital choices. PPOs tend to be more expensive to offer consumers because they allow subscribers to go outside of [...]