All of the following are true abotu preferred provider organizations, except: the plan offers a saving option, which was required by the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) Preferred providers include physicians, hospitals, diagnostic facilities, and other service providers Care is managed in the sese that insured people pay less if care is obtained from a network of preferred providers with which the insurer contracts for discounted rates If care is not provided by a preferred provider, the insured individual pays a higher undiscounted rate and must meet higher deductibles and coinsurances for these services
Solución de inteligencia artificial de Upstudy
Responder
Solución
Respondido por UpStudy AI y revisado por un tutor profesional


Extra Insights
Preferred Provider Organizations (PPOs) are often celebrated for their flexibility; members can see any doctor or specialist without needing a referral, making it easier to get the care they want, when they want it. However, keeping an eye on those out-of-network costs is crucial because that's where things can get pricey! When enrolling in a PPO, many people mistakenly assume they’ll always save money by going out of network. In reality, this could lead to unexpected bills because those higher deductibles and coinsurance can really add up. So, remember to check if your provider is in the network for a smoother, cost-effective experience!
