Which of the following describes a preferred provider organization (PPO)?

Prepare for the Kansas Insurance Exam with insightful quizzes. Utilize flashcards and multiple-choice questions, each enriched with hints and explanations. Ace your exam with confidence!

A preferred provider organization (PPO) is best described as a health plan that offers services at reduced rates from a network of preferred providers. This network consists of healthcare providers that have agreed to provide services at lower costs to members of the PPO. Individuals with a PPO plan have the flexibility to choose their healthcare providers, whether they are in-network or out-of-network, although they will save more money by using in-network providers. Because of this structure, a PPO offers a balance between cost savings through a network and freedom of choice for the insured.

In contrast, the other options do not accurately capture the essence of a PPO. For instance, an insurance plan that only covers in-network providers describes an exclusive provider organization (EPO) or an HMO (Health Maintenance Organization), which restricts coverage primarily to in-network services. Coverage limited to dental and vision care refers specifically to plans designed solely for those types of care, not encompassing the broader range of services associated with a typical PPO. Lastly, a government-funded health service program suggests a plan provided by the government, such as Medicare or Medicaid, which is distinct from PPOs that are typically offered by private insurance companies.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy