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"PPOs offer their members savings on a wide range of medical costs"


 
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is an independent adviser service offering free online support about any health reform issue. OnlineNavigator is not acting as agent for any qualified health insurance marketplace and is not affiliated with any federal or state programs. This service is available online 24/7 through email and social media sites usually with same day response. See the web site for details on privacy policy and terms of service.

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Preferred Provider Organization (PPO)

Network pricing discounts can be more valuable to health plan members than the insurance.

revised 11/3/2015

A preferred provider organization (PPO) is a "front line defense" for controlling health costs. For most health plan members, in fact, the discounts on out-of-pocket health care services total more than the amounts paid by an insurance company. For example, suppose a series of doctor bills and lab expenses total $1,000. Most policies today would not cover any of the expense that falls below the average deductible of $1,500. Yet the out-of-pocket expense might be reduced from $1,000 to perhaps $600 through claim processing by a PPO network.

PPO network discount arrangements are built in to most currently available health insurance plans. For those who do not have access to a PPO network through health insurance, the PPO discount plan is available as a separate benefit.

The two most popular PPO networks here at Freedom Benefits are Private Healthcare Systems Inc. (PHCS) and Beechstreet Network.  Both are national networks well-represented in metropolitan areas. Other smaller networks may be a better choice in specific rural networks. Available networks are listed on the

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This web site is independently owned and managed by Tony Novak operating under the trademarks "Freedom Benefits", "OnlineAdviser" and "OnlineNavigator". Opinions expressed are the sole responsibility of the author and do not represent the opinion of any other person, company or entity mentioned. Tony Novak is not an agent, broker, producer or navigator for any federal or state health insurance exchange but may provide uncompensated advice, reviews and referrals to these resources. Novak is compensated as an accountant, adviser, affiliate consultant, marketer, reviewer, endorser, producer, lead generator or referrer to some of the other commercial companies listed on this site. Information is from sources believed to be reliable but cannot be guaranteed. Any tax advice in this communication including attachments and linked resources cannot be used by the taxpayer for the purpose of avoiding penalties that may be imposed on the taxpayer.