Preferred Provider Organization (PPO)
GPTKB entity
Properties (49)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
health insurance plan
|
| gptkbp:allows |
out-of-network care
|
| gptkbp:benefits |
those who travel frequently for work
|
| gptkbp:can_be |
network restrictions
traditional indemnity plans |
| gptkbp:has_a |
gptkb:Health_Maintenance_Organization_(HMO)
|
| https://www.w3.org/2000/01/rdf-schema#label |
Preferred Provider Organization (PPO)
|
| gptkbp:includes |
telehealth services
deductibles co-payments specialist visits without referrals out-of-network benefits with higher costs |
| gptkbp:is_a |
managed care plan
insurance plan that allows flexibility |
| gptkbp:is_a_popular_spot_for |
young professionals
retirees self-employed individuals families needing diverse healthcare options its convenience in accessing care |
| gptkbp:is_a_subject_of |
state and federal regulations
|
| gptkbp:is_a_tool_for |
healthcare_coverage.
|
| gptkbp:is_available_in |
private insurance companies
employers as part of employee benefits |
| gptkbp:is_characterized_by |
a network of preferred providers
|
| gptkbp:is_designed_to |
flexible healthcare access
|
| gptkbp:is_evaluated_by |
its network size
|
| gptkbp:is_governed_by |
state insurance departments
|
| gptkbp:is_known_for |
its balance of cost and choice
|
| gptkbp:is_part_of |
a larger health insurance marketplace
|
| gptkbp:is_popular_among |
individuals who want more choice
|
| gptkbp:is_used_in |
gptkb:the_United_States
individuals with chronic conditions higher levels of patient satisfaction those who want to avoid referrals Exclusive_Provider_Organization_(EPO) |
| gptkbp:isUsedFor |
Health Savings Accounts (HSAs)
|
| gptkbp:leads |
higher out-of-pocket costs for out-of-network services
|
| gptkbp:mayHave |
annual out-of-pocket maximums
different premium rates based on age different tiers of providers |
| gptkbp:offers |
preventive care services
flexibility in choosing healthcare providers |
| gptkbp:provides |
wellness programs
no need for a primary care physician access to a wide range of specialists |
| gptkbp:requires |
pre-authorization for certain services
higher_premiums_than_HMO_plans |
| gptkbp:suitableFor |
people who travel frequently
|
| gptkbp:variant |
coverage and costs by state
|