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yes we do but it is privet

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Q: Does a patient with a PPO plan have to obtain a referral?
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What is PPO and what does it mean?

PPO stands for Preferred Provider Organization. A group of in-network medical providers contract with the insurance carrier under specified plans offered by the carrier. The providers agree to provide care at a pre-neogotiated rate per procedure. In exchange the providers expect to see patient flow from members of the plan. Most PPO plans do not require a referral to see a specialist.


What are the advantages of PPO health insurance?

For most people the main advantage of PPO health insurance is options. A PPO plan offers you the opportunity to use any in-network provider without a referral. Because of this you can go see any particular doctor in your network without having to get approval from another doctor or your insurance company first. This is really the only advantage for a PPO as compared to any other health insurance plan.


What specific type of PPO plan gives debit card with the money?

You are thinking of an MSA plan (Medical Savings Account) which is different than a PPO plan


What is an EPO?

Exclusive Provider Organization (EPO) - There are two types of EPO plans. The current industry standard requires that a patient select a Primary Care Physician (PCP) (some patients may only have to choose a medical group) and when needed obtain authorization from that PCP to receive specialty services. A patient must stay within the contract network and only use preferred providers. There typically is a lifetime policy maximum with this type of plan. In the event a patient goes out of network (OON) they may be responsible for the entire balance that is not paid by the payer associated with the services provided. The other type of EPO is one where the benefits are those of a PPO but the provider panel from which members obtain care is smaller than a PPO panel.


Are braces cheaper with a PPO or HMO dental plan?

PPO is always better you pay more for it but it pays off as soon as you use it


How can one choose their own doctor with a Humana Choice PPO plan?

One can choose their own doctor with a Humana Choce PPO plan by opting into the plan which pays for for one to do this. One must be prepared to pay the plan deductibles and monthlyy premiums associated with this type of plan.


How much would the lowest cost PPO dental insurance be for an individual?

The lowest cost PPO dental insurance differs by whether you join by a monthly plan or a yearly plan. A monthly plan can cost as low as $6 and a yearly plan as low as $72.


Does an HMO or PPO give the patient more flexibilty?

PPO - generally has a larger list of MD's and allows you to see MD's outside of the network, but at a lower payment level.


Is it legal for a family doctor who is in a PPO network to bill a patient a membership fee outside of the patient's co-pay?

NO, NO, NO, bad doctor!


Is an epo medical plan a good plan vs ppo?

Based on my personal experience and extensive research, PPOs give you the most flexibility; the downside is a higher premium. I am in a PPO currently, after running into unacceptable out-of-pocket costs with an HMO.


Where can you get an individual PPO health insurance plan?

Nothing, People gain weight when they try to quit because they want to put something in their mouth. Depending on the state you live in and the insurance company you go through, you should be able to find a good PPO individual plan. BlueCross Blueshield of Florida offers excellent PPO individual plans.


What benefits come with an HMO plan?

Each HMO plan is different. Most are less flexible then PPO plans and have certain restrictions on them.