Question

Name the features of preferred provider organizations. (PPO)

Answer 1

A Preferred Provider Organization (PPO) is a type of managed care organization in the health industry. Some features of PPOs include a network of providers, flexibility in choosing healthcare providers, out-of-network coverage, cost-sharing, and no requirement for a primary care physician.

Step-by-step explanation:

A Preferred Provider Organization (PPO) is a type of managed care organization in the health industry. PPOs offer a network of healthcare providers that have agreed to provide services to members at discounted rates. Some of the features of PPOs include:

1. Network of Providers: PPOs have a network of healthcare providers, including doctors, specialists, and hospitals, that have agreed to provide services at discounted rates to PPO members.
2. Flexibility: PPO members have the flexibility to see any healthcare provider within the PPO network without a referral.
3. Out-of-Network Coverage: PPOs also offer coverage for services received outside of the network, although the coverage is typically at a higher cost to the member.
4. Cost-Sharing: PPO members typically have a deductible, copayments, and coinsurance that they are responsible for paying when receiving healthcare services.
5. No Primary Care Physician: Unlike Health Maintenance Organizations (HMOs), PPO members are not required to select a primary care physician and can see specialists directly.