What Does PPO Stand For In Health Insurance?

1. 

   1575 POINTS

   view profile
   Christopher Lawrence

   Insurance Broker | Financial Consultant, Lawrence Insurance Consulting, Southern New Jersey

   PPO stands for Prefered Provider Organization. It is the least restrictive form of health insurance that uses a managed care form of utilization management. What that basically means is that one can seek treatment from specialists without prior authorization (a referal), and one can seek treatment from Dr.'s who are either in network or out of network. Although the insurance company will cover a larger percentage of the costs with in-network providers, this is an aspect of the managed care cost control that is called steerage (basically were one is given an incentive to use network providers thus "steering" them toward the cost minimizing option).

   Answered on July 3, 2013

   flag this answer
Did you find these answers helpful?
Yes
No
Go!

Add Your Answer To This Question

You must be logged in to add your answer.