TYPES OF HEALTH PLANS

 

 

  • Preferred Provider Plans (PPO Plans)

    PPO plans are preferred provider plans. Health insurance companies contract a network of doctors and hospitals that are "preferred" by the company. These network doctors and hospitals charge a contracted fee for their services and when you choose to see one of these "preferred providers," the amount you pay out of your pocket is usually quite low. There is typically a small co-payment (a fee per visit or service), which may be $15 or $20. It is important to keep in mind that since the insurance companies keep prices lower by contracting specific doctors and hospitals, there is higher charge for going out of the healthcare provider's network. However, the PPO is a more flexible arrangement than many other plans because the plan will pay some of the costs if you choose to visit a doctor, specialist, or clinic outside the network. For example, if you want to see a world renowned specialist at the John Hopkins Clinic, your PPO plan would reimburse you for at least some of the cost.