ppo

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الإنجليزية - التركية

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المصطلحات ذات الصلة

health insurance
sağlık sigortası
health insurance
(Ticaret) hastalığa karşı sigorta
health insurance
hastalık sigortası
الإنجليزية - الإنجليزية
Personal Protection Order
health insurance
Preferred Provider Organization
Preferred Provider Organization (PPO) - A system in which a payer negotiates lower prices with certain doctors and hospitals Patients who go to a preferred provider get a higher benefit, for example-- 90 percent or 100 percent coverage of their costs -- than patients who go outside the network
A network of health care providers that have agreed to provide medical services to a health plan's members at discounted costs PPO members typically make their own decisions about their health care rather than going through a primary care physician like HMO member The cost to use physicians within the PPO network is less than using a non-network provider
Health care providers who are under contract to provide care at discounted or fixed fees Unlike "HMO's", health plans with a "PPO" allow you to choose any doctor at any time However, if you select a non-network provider you will pay more out-of-pocket for services than you would if you selected a PPO "In-network" provider
Preferred Provider Organization A contracted network of physicians/providers, in which the providers generally agree to a discount for their services Patients generally have lower cost-shares when they use the PPO providers and higher cost-shares when they receive care outside the PPO
An arrangement under which a selected group of independent hospitals and medical practitioners in a certain area, agree to provide services at a prearranged cost (a set fee for each service) The doctor or professional medical service entity is paid for services as they are given to the patient/consumer The patient can direct refer to specialists It is important to note that many procedures and tests still need pre-authorization from the insurance company that is sharing expense with the patient Even though a patient does not need to have a “primary physician”, a relationship with a general practitioner is still recommended Many specialists see patients only after they have been to a general practitioner
The abbreviation for a preferred provider organization, a kind of health insurance plan People who join PPO plans agree to pay a higher percentage of their medical expenses when they use medical providers who are not a part of the PPO
Preferred Provider Organization: The health insurer contracts with a network of medical providers who agree to accept lower fees and/or to control utilization The enrollee receives a higher lever of benefits if they go to a preferred provider than if they go to a non-preferred provider
Group (network) of preferred providers (Hospitals, Doctors, Lab, etc ) that have agreed to provide their services to member groups of the PPO for a discounted fee The reason they accept a lesser fee is the principle that through plan design incentives implemented by the group these providers will have the opportunity to receive more patients and generate a profit by increasing their volume of patient encounters
(Preferred Provider Organization) -- A health plan with an established provider network that allows maximum benefit coverage when using its own contracted physicians and hospitals Plan may reduce benefits when using providers outside of the set provider network
Preferred Provider Organization - A group of doctors, hospitals, and other health care providers who have agreed to provide services to you at a discounted rate
A Preferred Provider Organization (PPO) provides a list of contracted "preferred" providers from which to choose You receive the highest monetary benefit when you limit your health care services to those providers on the list If you go to a doctor or hospital that is not on the preferred provider list referred to as going "out-of-network", then the plan covers a smaller percentage of your health care expenses or may cover none of your health care expenses based on the contract wording of the plan Always check with your PPO or consult your list of preferred providers before you seek health care services to make certain your physician or hospital is a contracting provider (part of the network) Make sure that your doctor refers you to health care providers within your PPO network, if applicable
Preferred Provider Organization Doctor accepts a discount in his/her payments in return for being in a limited group of doctors Supposed gets more patients in return for the smaller payments Most prevalent insurance model
A delivery system where providers are under contract to an insurance company or health plan to provide care at a discount or negotiated rate There is freedom of choice among In-Network providers, including specialists When In-Network providers are used, out-of-pocket expenses are lower and no claim forms are required
Health care providers who are under contract to provide care at discounted or fixed fees Unlike HMOs, health plans with a PPO allow you to choose any doctor at any time However, if you select a non-PPO provider you will pay more out of pocket for services than you would if you selected a PPO "network" provider
Preferred Provider Organization A network of medical care providers that provides various medical care services to covered employees and retirees for specified fees Although fees charged by PPO providers are usually less than those charged by non-PPO providers, the employee may seek treatment from any provider
Preferred Provider Organizations A health plan that encourages savings by establishing a network of preferred providers - health professionals who agree to provide medical services to plan member for discounted rates Plan members may go "out of network" to seek medical services from non-affiliated medical professionals Members are charged higher co-payments for this option
A combination of traditional fee-for-service and an HMO When you use the doctors and hospitals that are part of the PPO, you can have a larger part of your medical bills covered You can use other doctors, but at a higher cost
A Preferred Provider Organization is an organized network of health care providers within a limited geographic area PPO participants must receive medical treatment from designated hospitals, clinics, doctors or other providers to receive maximum coverage Participants who use out-of-network providers will receive a lower benefit
Preferred provider organization; a type of managed health care plan
A network of doctors, hospitals, and other health care providers who participate in a managed care plan The GIC PPO Plan is administered by Tufts Health Plan and is called the Commonwealth PPO Members' network benefits are less generous than their network benefits