Preferred Provider Organization plans
GPTKB entity
Statements (27)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
health insurance plan
|
| gptkbp:abbreviation |
gptkb:PPO_plans
|
| gptkbp:acceptsPaymentMethod |
fee-for-service
|
| gptkbp:contrastsWith |
gptkb:Health_Maintenance_Organization_plans
gptkb:Exclusive_Provider_Organization_plans gptkb:Point_of_Service_plans |
| gptkbp:feature |
higher flexibility in provider choice
higher out-of-pocket costs for out-of-network care higher premiums than HMO plans network of preferred providers no primary care physician requirement no referral needed for specialists out-of-network coverage |
| https://www.w3.org/2000/01/rdf-schema#label |
Preferred Provider Organization plans
|
| gptkbp:offeredBy |
health insurance companies
|
| gptkbp:originatedIn |
1970s
|
| gptkbp:regulates |
state insurance departments
|
| gptkbp:service |
emergency care
prescription drugs preventive care hospitalization specialist visits |
| gptkbp:targetAudience |
individuals seeking provider flexibility
|
| gptkbp:type |
managed care health insurance plan
|
| gptkbp:usedIn |
gptkb:United_States
|
| gptkbp:bfsParent |
gptkb:Medicare_Part_D
|
| gptkbp:bfsLayer |
5
|