A Blue Cross/Blue Shield insurance plan that allows members to choose any provider, but offers higher levels of coverage when members obtain services from network providers would be an example of: a. Preferred Provider Organizations are the most common managed care organizations and they allow patients to seek care outside the network for a slightly higher cost. Both types of plans allow the individual to go outside the system, though the individual then pays a higher portion of the costs. Premiums may be similar to or slightly higher than HMOs, and out-of-pocket costs are generally higher and more complicated than those for HMOs. PPOs do not restrict patients to receiving care in-network. A PPO Plan isn't the same as Original Medicare or a Medicare Supplement Insurance (Medigap) policy. It usually offers extra Benefits [Glossary] than Original Medicare, but you may have to pay extra for these benefits. But … Preferred Provider Organization (PPO) A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You can use doctors, hospitals, and providers outside of the network for an additional cost. At the same time, PPOs give you a bit more flexibility than HMOs, or health maintenance organizations. Because certain providers are “preferred,” you can save money by using them. Point of Service plans require patients to have a primary care doctor to oversee care and provide referrals, although out-of-network care is available at a slightly increased cost. PPOs (Preferred Provider Organizations) were put into place to produce medical provider bills below State Fee Schedule or Usual and Customary Charges. You pay less if you use providers that belong to the plan’s network. Prologue: With over 140 in existence and many under development, preferred provider organizations (PPOs) are attracting considerable interest among health policymakers as a … The main difference between a preferred provider organization and a point-of-service organization is that the POS organization uses a primary care physician (gatekeeper) to provide greater cost control. A certified Workers Comp PPO is a plan that provides or arranges for the coordination and delivery of services under the law to diagnose, treat and rehabilitate claimants requiring A Preferred Provider Organization, or PPO, is also a network of healthcare providers that provide its members with multiple choices regarding healthcare and healthcare providers. The differences, besides acronyms, are distinct. Point of Service (POS) c. Preferred Provider Organization (PPO) d. 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