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Preferred Provider Organization
(PPO) Overview
Frequently Asked Questions
A Preferred Provider Organization
(PPO) plan gives you the opportunity to use network or non-network
providers. In most cases, a PPO plan requires that an annual
deductible be met prior to claims being paid. You receive
the maximum benefit from your PPO plan by using network providers.
In some instances, deductibles do not apply to certain services
such as office visits - a copayment may be charged instead.
In addition, your coinsurance responsibility is lower, most
claims are filed for you and you are not responsible for the
amount in excess of usual, customary and reasonable charges
(UCR).
Refer to your medical plan summary or contact
the medical plan for specific benefit information.
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