Preferred Provider Organization Plan definition

Preferred Provider Organization Plan or "PPO" means a Preferred Provider Organization (PPO) plan. In a PPO plan, you have the flexibility to choose the providers you see. You can receive care from In-Network Providers or Out-of-Network Providers.
Preferred Provider Organization Plan means a health benefit program offered pursuant to a preferred
Preferred Provider Organization Plan means a health benefit program offered pursuant to a preferred provider policy or contract under § 38.2-3407 or covered services offered under a preferred provider subscription contract under § 38.2-4209.

Examples of Preferred Provider Organization Plan in a sentence

  • The University will offer a plan with equal to or greater coverage as the Preferred Provider Organization Plan as detailed in Appendix G.

  • Administration will offer a plan with coverage that is equal to or greater than the Preferred Provider Organization Plan as detailed in Appendix D.

  • Residents and eligible members of his/her immediate family are provided with health insurance offered through the UC PPO (Preferred Provider Organization) Plan document.

  • In case customary tenure, it may be enough just to indicate outer boundaries without going into individual parcels and in slums or informal settlement areas, it may even be graphical point forms so that it tells people live there to protect from eviction (van der Molen and Lemmen, 2005).

  • Medicare retirees have the option of selecting one of two fully-insured Medicare Advantage/Prescription Drug Plan options or the self-funded Traditional 70/30 Preferred Provider Organization Plan option that is also offered to non-Medicare members.

  • One is the Preferred Provider Organization Plan (PPO or “Copay”) plan and the other is the High Deductible Health Plan (HDHP) plan.

  • Residents and eligible members of their immediate family are provided with zero premium health insurance offered through the UC PPO (Preferred Provider Organization) Plan document.

  • All employees (and their spouse/dependants) shall be in the Preferred Provider Organization Plan (PPO).

  • BCBS of IllinoisIn-NetworkOut-of-NetworkHMO Illinois NetworkYour ResponsibilityNo BenefitsDeductible (Single/Family)$0MEDICAL INSURANCE – PPOThe following chart provides a summary of our Preferred Provider Organization Plan (PPO).

  • The enrollee was a member of the Plan’s Gold Select Preferred Provider Organization Plan.


More Definitions of Preferred Provider Organization Plan

Preferred Provider Organization Plan or "PPO" means a Preferred Provider Organization (PPO) plan. In a PPO plan, you have the flexibility to choose the providers you see. You can receive care from In-Network Providers or Out-of-Network Providers. • "Preferred Provider," "Participating Physician," or "In-Network Provider" means the provider who has agreed to participate in Health Net’s Preferred Provider Organization (“PPO”) to provide covered services and supplies, as explained in this EOC, and accept a special Contracted Rate, called the Contracted Rate, as payment in full. Your share of costs is based on this Contracted Rate.

Related to Preferred Provider Organization Plan

  • Preferred Provider Organization (PPO) means a health insurance issuer's or carrier's insurance policy that offers covered health care services provided by a network of providers who are contracted with the issuer or carrier (“in-network”) and providers who are not part of the provider network (“out-of-network”).

  • Provider Organization means a group practice, facility, or organization that is:

  • Preferred Provider or “Network Provider” means a doctor, hospital, medical facility or other provider of health care which is included in a network which has been designated by the Fund to render health related services to Fund participants.

  • Member organization means any individual, corporation, limited liability company, partnership, or association that belongs to an association.

  • Hospital purchaser/provider agreement (HPPA agreement) means a negotiated agreement entered between the fund and the hospital for the cost of hospital treatment.

  • Nonprofit organization means a university or other institution of higher education or an organization of the type described in section 501(c)(3) of the Internal Revenue Code of 1954 (26 U.S.C. 501(c) and exempt from taxation under section 501(a) of the Internal Revenue Code (25 U.S.C. 501(a)) or any nonprofit scientific or educational organization qualified under a state nonprofit organization statute.

  • Provider agreement means the signed, written, contractual agreement between the department and the provider of services or goods.

  • Health care organization ’ means any person or en-

  • Managed care organization means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” as defined in Iowa Code section 514B.1.

  • Credit union service organization means an organization, corporation, or association whose membership or ownership is primarily confined or restricted to credit unions or organizations of credit unions and whose purpose is primarily designed to provide services to credit unions, organizations of credit unions, or credit union members.

  • Health maintenance organization means that term as defined in section 3501 of the insurance code of 1956, 1956 PA 218, MCL 500.3501.

  • Electric Reliability Organization or “ERO” means the organization that is certified by the Commission under Section 39.3 of its regulations, the purpose of which is to establish and enforce Reliability Standards for the Bulk Power System in the United States, subject to Commission review. The organization may also have received recognition by Applicable Governmental Authorities in Canada and Mexico to establish and enforce Reliability Standards for the Bulk Power Systems of the respective countries.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or

  • Foreign terrorist organization means an organization designated as a foreign terrorist organization by the United States Secretary of State as authorized by 8 U.S.C. Section 1189.

  • Related provider trust means a titling trust or other trust established by a licensed viatical settlement provider or a financing entity for the sole purpose of holding the ownership or beneficial interest in purchased policies in connection with a financing transaction. The trust shall have a written agreement with the licensed viatical settlement provider under which the licensed viatical settlement provider is responsible for ensuring compliance with all statutory and regulatory requirements and under which the trust agrees to make all records and files related to viatical settlement transactions available to the commissioner as if those records and files were maintained directly by the licensed viatical settlement provider.

  • Religious organization means a church, ecclesiastical corporation, or group, not organized for pecuniary profit, that gathers for mutual support and edification in piety or worship of a supreme deity.

  • Student organization means a group, club or organization having students as its primary members or participants. It includes grade levels, classes, teams, activities or particular school events. A student organization does not have to be an official school organization to come within the terms of this definition.