Which of the following responses best describes a Preferred Provider Organization (PPO)?

a. Coverage for adults over 65 years of age and some with disabilities. There are three types of coverage.
b. Government health insurance for all military personnel and their families.
c. Usually requires a deductible and copayment for doctor visits. Patients can see a "nonpreferred" doctor, but will pay a higher cost to see them.
d. Provides managed plan of healthcare services. Most preventative care is completely covered. Must get a referral to see a specialist.

1 answer

The response that best describes a Preferred Provider Organization (PPO) is:

c. Usually requires a deductible and copayment for doctor visits. Patients can see a "nonpreferred" doctor, but will pay a higher cost to see them.

This accurately reflects how PPOs operate, allowing more flexibility in choosing healthcare providers while requiring different costs based on whether the provider is in-network or out-of-network.