Ppo-what Your Didn't Know

By Author: Marcus Stalder
Total Articles: 491
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There are two major types of health insurance that consumers can choose from, a PPO plan or an HMO plan and you'll run into both of these when you get your health insurance quote. Today we are going to talk about the PPO plan.

PPO stands for Preferred Provider Organization. A PPO plan is an insurance policy that allows you to seek medical treatment from a designated provider who is a part of a network of providers and medical treatment facilities that was created by the insurer. Everyone within the network agrees to work for a certain price. If you have a coinsurance amount in the plan, then this agreement to work for a certain price can help you keep your out-of-pocket costs affordable.

In a PPO you also have the freedom to visit a doctor or treatment center outside the network. You will not have all your medical costs reimbursed if you seek treatment outside the network, but your insurance policy will cover some of your expenses. That means if you have a doctor you love who is not in the network, you can still see him or her although it will be more ...
... expensive.

There are often copayment amounts with your PPO plan. These copayments are fixed amounts that you must pay your healthcare provider or facility for treatments you have had. You will generally receive a fixed list of these costs when you take out the policy so that you know what to expect.

Your PPO policy may also have a deductible, which is an out-of-pocket amount that you must pay before your insurance benefits will kick in-much like the deductible you have for your auto insurance or homeowners insurance policy.

And because insurance companies cannot guarantee unlimited coverage for all the medical expenses you might have over the course of a lifetime, your PPO policy will likely have limits that are the maximum benefits your policy will pay out. Since most limits are set at one or more million dollars it is unlikely that you will need to worry about exceeding these limits over your lifetime.

So before you decide whether to use an HMO or a PPO to fulfill your insurance needs, make sure you compare the benefits and drawbacks of each plan and find the one that works best for your lifestyle and budget.