Common use of Choosing a PPO Provider Clause in Contracts

Choosing a PPO Provider. i. The PPO plan potentially allows the greatest reduction in Enrollees’ out-of-pocket expenses since this select group of Providers will provide dental Benefits at a charge that has been contractually agreed upon. Payment for covered services performed by a PPO Provider is based on the Maximum Contract Allowance. ii. Costs incurred by the Pediatric Enrollee for covered services with a PPO Provider apply towards the Out-of-Pocket Maximum for pediatric dental Benefits.