Preferred Provider Organization (PPO)

Also called: PPO

A preferred provider organization is a plan that lets you see providers both inside and outside its network, usually without a referral, though you pay more for out-of-network care. The added flexibility typically comes with higher premiums than more restrictive plans. Because out-of-network care is only partly covered, PPO members can still face balance billing and larger cost-sharing.

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Disclaimer: This definition is provided for general educational purposes only and is not legal, medical, or insurance advice. Insurance rules, deadlines, and terminology vary by plan, state, and over time. Always check your own plan documents and confirm current details before acting.