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{"id":18768,"date":"2022-06-17T09:41:38","date_gmt":"2022-06-17T09:41:38","guid":{"rendered":"https:\/\/mazingus.com\/?p=18768"},"modified":"2022-06-17T09:41:38","modified_gmt":"2022-06-17T09:41:38","slug":"preferred-provider-organization-ppo","status":"publish","type":"post","link":"https:\/\/mazingus.com\/preferred-provider-organization-ppo\/","title":{"rendered":"Preferred Provider Organization (PPO)"},"content":{"rendered":"\n

Preferred Provider Organization (PPO)<\/h2>\n\n\n\n

How PPO Plans Work<\/h3>\n\n\n\n

A Medicare PPO plan<\/a> is a type of\u00a0\u00a0<\/p>\n\n\n\n

Medicare Advantage Plan (Part C)<\/p>\n\n\n\n

offered by a private insurance company.\u00a0PPO plans have doctors, other health providers, and hospitals that belong to a network.\u00a0You will pay less if you use doctors, hospitals, and other health providers that belong to the\u00a0\u00a0<\/p>\n\n\n\n

net.\u00a0You can also use out-of-network providers for
covered services, usually at a higher cost, if the provider has
agreed to treat you and has not opted out of Medicare (for Medicare Part A and Part B items and services
).\u00a0You will always have coverage for emergencies and urgent health care.<\/p>\n\n\n\n

Can health services be obtained from any doctor, health provider, or hospital?<\/h2>\n\n\n\n

In most cases, you can get care from any doctor, other  <\/p>\n\n\n\n

health care provider<\/p>\n\n\n\n

, or hospital in PPO plans. Each plan gives you the flexibility to visit doctors, specialists, or hospitals that aren’t on the plan’s list, but they usually cost more.<\/p>\n\n\n\n

Are prescription drugs covered?<\/h2>\n\n\n\n

In most cases, PPO plans cover prescription drugs.\u00a0Ask to plan.\u00a0If you want Medicare drug coverage, you must join a PPO Plan that offers prescription drug coverage.\u00a0Remember, if you join a PPO plan that doesn’t offer prescription drug coverage, you can’t join the\u00a0\u00a0<\/p>\n\n\n\n

Medicare Prescription Drug Plan (Part D)<\/p>\n\n\n\n

Should a Primary Health Care Physician be chosen?<\/h2>\n\n\n\n

You do not need to choose a primary care physician in PPO plans.<\/p>\n\n\n\n

Do I need a referral to see a specialist?<\/h2>\n\n\n\n

In most cases, no. But if you use plan (in-network) specialists, your costs for covered services will generally be less than if you use non-plan (out-of-network) specialists.<\/p>\n\n\n\n

What else do you need to know about this type of plan?<\/h2>\n\n\n\n
  • Because certain providers are “preferred,” you can save money by using them.<\/li>
  • Contact the plan for more information.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"

    Preferred Provider Organization (PPO) How PPO Plans Work A Medicare PPO plan is a type of\u00a0\u00a0 Medicare Advantage Plan (Part C) offered by a private insurance company.\u00a0PPO plans have doctors, other health providers, and hospitals that belong to a network.\u00a0You will pay less if you use doctors, hospitals, and other health providers that belong to […]<\/p>\n","protected":false},"author":9,"featured_media":18780,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[10],"tags":[6357],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/mazingus.com\/wp-content\/uploads\/2022\/06\/download-5-1-1.jpg","_links":{"self":[{"href":"https:\/\/mazingus.com\/wp-json\/wp\/v2\/posts\/18768"}],"collection":[{"href":"https:\/\/mazingus.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mazingus.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mazingus.com\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/mazingus.com\/wp-json\/wp\/v2\/comments?post=18768"}],"version-history":[{"count":1,"href":"https:\/\/mazingus.com\/wp-json\/wp\/v2\/posts\/18768\/revisions"}],"predecessor-version":[{"id":18781,"href":"https:\/\/mazingus.com\/wp-json\/wp\/v2\/posts\/18768\/revisions\/18781"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mazingus.com\/wp-json\/wp\/v2\/media\/18780"}],"wp:attachment":[{"href":"https:\/\/mazingus.com\/wp-json\/wp\/v2\/media?parent=18768"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mazingus.com\/wp-json\/wp\/v2\/categories?post=18768"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mazingus.com\/wp-json\/wp\/v2\/tags?post=18768"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}