Preferred Provider Organization (PPO) plans
GPTKB entity
Statements (58)
| Predicate | Object |
|---|---|
| gptkbp:instance_of |
gptkb:Health_Insurance
|
| gptkbp:allow_members_to |
see any doctor
|
| gptkbp:allows |
out-of-network care
|
| gptkbp:are_often_chosen_by |
self-employed individuals
|
| gptkbp:are_often_chosen_for |
their convenience
|
| gptkbp:are_often_evaluated_based_on |
network size
|
| gptkbp:available_in |
most states
|
| gptkbp:can_be_a_good_option_for |
people who value choice
|
| gptkbp:can_be_compared_with |
traditional indemnity plans
|
| gptkbp:can_be_customized_with |
individual preferences.
|
| gptkbp:can_be_more_expensive_than |
Health Maintenance Organization (HMO) plans
|
| gptkbp:can_be_renewed_annually_by |
policyholders
|
| gptkbp:can_be_used_for |
urgent care services
|
| gptkbp:can_be_used_to |
preventive services
|
| gptkbp:can_include |
telehealth services
wellness programs preventive care services out-of-pocket maximums |
| gptkbp:can_provide_coverage_for |
prescription drugs
|
| gptkbp:coverage |
mental health services
|
| gptkbp:has_variations |
coverage options
|
| https://www.w3.org/2000/01/rdf-schema#label |
Preferred Provider Organization (PPO) plans
|
| gptkbp:is_beneficial_for |
those with chronic conditions
those needing frequent medical care |
| gptkbp:is_compared_to |
Exclusive Provider Organization (EPO) plans
|
| gptkbp:is_designed_to |
frequent travelers
reduce barriers to care flexible healthcare access |
| gptkbp:is_evaluated_by |
cost-effectiveness
customer satisfaction ratings |
| gptkbp:is_often_associated_with |
higher administrative costs
|
| gptkbp:is_often_involved_in |
state and federal regulations
|
| gptkbp:is_often_used_in |
families
individuals with specific healthcare needs group insurance policies |
| gptkbp:is_part_of |
Medicare Advantage plans
employer-sponsored health insurance |
| gptkbp:is_popular_among |
individuals who want more choice
|
| gptkbp:is_regulated_by |
state insurance departments
|
| gptkbp:marketed_as |
flexible health plans
|
| gptkbp:may_have |
network restrictions
waiting periods for certain services higher out-of-pocket costs for out-of-network services annual limits on coverage different levels of coverage |
| gptkbp:may_offer_discounts_for |
in-network services
|
| gptkbp:may_require_members_to |
file claims for out-of-network services
|
| gptkbp:offers |
flexibility in choosing healthcare providers
wellness incentives |
| gptkbp:often_have |
network of preferred providers
co-pays for services |
| gptkbp:often_includes |
deductibles
|
| gptkbp:provides |
no referrals needed for specialists
|
| gptkbp:provides_access_to |
specialized care
|
| gptkbp:requires |
pre-authorization for certain services
higher premiums than HMO plans |
| gptkbp:bfsParent |
gptkb:Health_Maintenance_Organization_(HMO)_Plans
|
| gptkbp:bfsLayer |
8
|