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preferred provider organization A health care arrangement between purchasers of care such as employers and insurance companies and providers offering benefits at a reasonable cost using incentives, such as lower deductibles and copays to get members to use providers within a network. Use of non-preferred physicians would involve a higher cost. Preferred providers must agree to specified fee schedules and are required to comply with certain utilization and review guidelines.
Ãâó: www.insurance.wa.gov/consumers/glossary.asp
preferred provider organization A type of managed care plan in which the patient may receive medical services from the plan's network of participating providers, or may receive medical services from out-of-network providers. In the latter case, the patient may be responsible for a larger share of the bill.
Ãâó: www.radgrp.org/info/glossary.html
preferred provider organization A program in which contracts are established with providers of medical care. Providers under such contracts are referred to as preferred providers. Usually, the benefit contract provides significantly better benefits (fewer co-payments) for services received from preferred providers, thus encouraging covered persons to use these providers. Covered persons are generally allowed benefits for non-participating providers?services, usually on an indemnity basis with significant co-payments. ...
Ãâó: www.dph.state.ct.us/OPPE/sha99/glossary.htm
preferred provider organization A fee-for-service product where beneficiaries receive care from a selected panel of providers. Providers agree to a discounted fee schedule when contracting with the PPO. PPOs offer a wide variety of benefit plans, some including the option to use non-panel providers if beneficiaries pay out-of-pocket costs.
Ãâó: www.americanheart.org/presenter.jhtml
preferred provider organization A health care delivery system in which the employer or insurer enters into contracts with health care providers (physicians, hospitals, etc.), to provide health care services at a discount.
Ãâó: www.farmers.com/FarmComm/WebSite/html/glossary/glo...
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