Preferred Provider Organizations
GPTKB entity
Statements (30)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
health insurance plan
|
| gptkbp:abbreviation |
PPO
|
| gptkbp:advantage |
complex billing
greater provider choice higher out-of-pocket costs |
| gptkbp:contrastsWith |
gptkb:Health_Maintenance_Organizations
gptkb:Point_of_Service_plans gptkb:Exclusive_Provider_Organizations |
| gptkbp:feature |
network of preferred providers
no primary care physician requirement no referral needed for specialists out-of-network coverage higher cost for out-of-network care |
| https://www.w3.org/2000/01/rdf-schema#label |
Preferred Provider Organizations
|
| gptkbp:offeredBy |
employers
private insurance companies |
| gptkbp:originatedIn |
1980s
|
| gptkbp:payment_model |
fee-for-service
|
| gptkbp:provides |
healthcare coverage
|
| gptkbp:regulates |
state insurance departments
|
| gptkbp:relatedTo |
managed care
|
| gptkbp:requires |
deductibles
co-payments higher premiums than HMOs co-insurance |
| gptkbp:roadType |
open network
|
| gptkbp:targetAudience |
individuals seeking flexibility in provider choice
|
| gptkbp:used_in |
gptkb:United_States
|
| gptkbp:bfsParent |
gptkb:Medicare+Choice_program
|
| gptkbp:bfsLayer |
6
|