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| | Health Insurance Overview |
 | | An organization, owned by a hospital or a group of investors, that provides management and administrative support services to individual physicians or small group practices in order to relieve physicians of non-medical business functions so that they can concentrate on the clinical aspects of their practice. | | | An organization that provides behavioral health services using managed care techniques. | | | External reviewers who assess the medical appropriateness of suggested courses of treatment for patients, thereby providing the patient and the purchaser increased assurance of the appropriateness, value, and quality of healthcare services. |
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http://www.agencyinfo.net/iv/medical/health-glossary.htm
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| | Preferred Provider Organization - Benefit Summaries - CareFirst BlueCross BlueShield |
| | Discounts on alternative therapies: Options provides discounts on alternative therapies including acupuncture, massage therapy, and chiropractic care. | | | When you choose to have medical care provided by a physician or hospital within PPO/PPN, you will receive the highest level of benefits for your care. | | | Freedom to choose any doctor, specialist or hospital - anytime you wish. |
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http://www.carefirst.com/membsvcs/html/GroupPlansPPN.html
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| | InsWeb Insurance Glossary Health Insurance Terms |
| | Basic health care provided by doctors who are in the practice of family care, pediatrics, and internal medicine. | | | This is a group of primary care physicians who provide care to those members of a particular health plan. | | | A licensed individual who provides custodial type care such as help in walking, bathing, feeding, etc. Practical nurses do not administer medication or perform other medically related services. |
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http://www.insweb.com/learningcenter/glossary/health-p.htm
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| | MVPPO Preferred Provider Organization |
| | We make every effort to maintain an accurate participating provider list, but it is ultimately your responsibility as the patient to verify with the provider that they are still participating when you make your appointment. | | | Please be aware that every physician in a group practice may not be participating and that some office locations of a particular physician may not be participating. | | | If additional medical services are needed, such as laboratory tests or x-ray procedures, you should also verify in advance that they are participating. |
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http://www.mvppo.com/locate_prov.htm
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| | Sloans Lake Preferred Provider Organization PPO |
| | Participating health care providers in the PPO adhere to utilization management procedures and accept the PPOs reimbursement rates. | | | Because we realize quality means more than technical excellence, we conduct annual patient satisfaction surveys to make sure our providers meet members' needs. | | | Your Sloans Lake participating provider is your partner and strongest advocate. |
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http://www.sloanslake.com/prod_svcs/ppodoc.htm
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| | Health Services Research: Selection in a preferred provider organization enrollment |
| | When enrolling in either a PPO or an HMO, the patient can keep his or her own physician if that physician participates in the plan. | | | Managed health care systems aim to lower health care costs through utilization control programs and a modified payment structure that removes some or all of a physician",; financial incentive to deliver more medical care than is medically necessary (Luft 1978). | | | care needs are "managed' by physicians, in contrast to the traditional fee-for-service practice in which the patient has more discretion in tie selection of providers and services. |
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http://www.findarticles.com/p/articles/mi_m4149/is_n5_v28/ai_15444017
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| | USdirect Plan |
| | With all Preferred Care plans, you have access to an extensive network of physicians as well as area hospitals-all dedicated to providing you and any covered family members with quality health care. | | | USdirect (PPO) extends this to our national network of physicians, hospitals, therapists, labs and other health care professionals. | | | In addition, our health and wellness programs offer a wide array of opportunities to help keep you healthy and well. |
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http://www.preferredcare.org/ourplans/usdirect.html
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| | Main |
| | You are free to choose any health care provider you wish, even if that physician or hospital is not a member of the PPO provider network. | | | The PPO does not change the basic design of Plan benefits, and does not penalize you if you do not use it. | | | In addition, your PPO acts as an advocate on your behalf to continually monitor and evaluate the medical care you receive. |
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http://www.harrisonretiree.aibpa.com/HRP_PPO.htm
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| | NCC - Preferred Provider Organization |
| | We will meet with clients individually to determine what their needs are to make the PPO extremely accessible to their employees. | | | Our largest client, Spectrum Managed Care, utilizes our network for the purpose of achieving additional savings on behalf of their clients. | | | conducts many in-service meetings to discuss channeling employees in need of treatment through the NCC PPO. |
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http://www.nationalchoicecare.com/PPO.php
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| | Preferred Provider Organization |
| | HearUSA is accredited by the Joint Committee on Accreditation of Healthcare Organizations (JCAHO) as the only preferred provider organization in hearing care. | | | Aetna Introduces PPO Plans for Individuals and Families in... | | | Summerlin's clients will use HMA's Health Management Network, a statewide Preferred Provider Organization with 3,800 providers and R/XX Pharmacy Solutions, a... |
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http://finance.za-news.com/new/Preferred_Provider_Organization.html
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| | Sloans Lake Automobile Preferred Provider Organization Program PIP |
| | Internal peer review consultants in each provider specialty review nurses' specific questions regarding reasonableness and necessity of medical treatment and refer them to a Sloans Lake medical director when necessary. | | | By monitoring the treatment of clients injured in auto accidents through a program that combines a multi-disciplinary, accessible provider network with a customized mix of managed care techniques. | | | If a peer review consultant cannot confirm the medical necessity of proposed treatment, he or she requests more information from the health care provider. |
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http://www.sloanslake.com/prod_svcs/pipdoc.htm
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| | BRMC : Quality Close to Home |
| | Baptist Regional Medical Center provides clinical training opportunities for local and regional colleges and universities, including an on-campus associate degree in nursing program with Lincoln Memorial University. | | | BRMC will be recognized as a customer-focused healthcare team, committed to the quality of life in our region and the healing of the body, mind and spirit. | | | Baptist Regional Medical Center, has made an effort to ensure the accuracy of the information contained on this site, we are not responsible for any errors or omissions in the material provided or any results obtained from the use of such material. |
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http://www.baptistregional.com/brmc.cfm
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| | Preferred Provider Organization |
| | Preferred name drugs have been identified by local community physicians and pharmacists and offer clinical and economical value to our subscribers. | | | Tier 2 (Value Preferred Drug) - Generally less expensive than other brand name drugs that are used to treat the same conditions. | | | With the Blue PPO, some benefits are paid in full, some have a co-pay and some are subject to a deductible and coinsurance. |
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http://www.gladle.com/ppo.htm
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| | BenefitSpecialists: How to Maximize Your Health Benefits by Utilizing a Preferred Provider Organization |
| | My current family practice physician is not in the PPO network, but I’ve been going to him for several years and I don’t want to change doctors. | | | Also, you will never be subject to a change that is above reasonable and customary if you use a PPO doctor. | | | In addition, the claims department occasionally may need to ask you for important information that the physician may not be able to provide, such as: |
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http://www.benefitspecialists.net/newsletter_2.htm
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| | 2004.12.06: HHS Announces Regions to Administer New Medicare Prescription Drug Benefit and Medicare Advantage Program |
| | HHS Secretary Tommy G. Thompson announced today that Medicare is taking another step in bringing more choices, better benefits and more savings to millions of Medicare beneficiaries by establishing the regions for prescription drug plans and Medicare Advantage Preferred Provider Organization (PPOs) health plans beginning in 2006. | | | In determining the regions for the Medicare Advantage and prescription drug plans, CMS relied on input from beneficiary and consumer groups, along with health plans and organizations experienced in providing drug coverage -- including pharmacy benefits managers, physicians, hospitals, pharmacists and other interested parties. | | | To help ensure that all Medicare beneficiaries have the opportunity to take advantage of the Medicare prescription drug benefit, the Centers for Medicare & Medicaid Services (CMS) established 26 regions for Medicare Advantage Preferred Provider Organizations and 34 regions for prescription drug plans. |
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http://www.hhs.gov/news/press/2004pres/20041206.html
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| | Preferred Provider Organization - PPO |
| | As with an HMO, a PPO requires that you choose a primary care doctor to monitor your health care. | | | Some people like this option because even if their doctor is not a part of the network, it means they don't have to change doctors to join a PPO. | | | Are there limits on medical tests, out-of-hospital care, mental health care, prescription drugs, or other services that are important to you? |
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http://www.amazingoffers.com/insurance/health/ppo.htm
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| | About St. Luke's |
| | Luke's Hospital and Health Network is committed to providing excellent patient care and strictly follows the quality standards set forth by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). | | | For more information, please visit Joint Commission on Accreditation of Healthcare Organizations - Public Notice. | | | As it has evolved, St. Luke's has always stayed at the forefront of medical technology. |
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http://www.slhhn.com/body.cfm?id=13
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| | HOW TO CHOOSE A PREFERRED-PROVIDER ORGANIZATION Section: HEALTH CARE Magazine: Cincinnati Business Courier, June 26, ... |
| | PPOs, on the other hand, generally don't have individual members -- they contract with health care facilities and with individual doctors to provide the discounts to the PPO's clients, which are self- insured benefit plans. | | | For PPOs that consist of physicians and other health care practitioners: * Does the credentialing process put an emphasis on the practitioner's board certification? | | | HMOs require that their individual members use their doctors or not be reimbursed. |
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http://mgv.mim.edu.my/Articles/00155/96021014.Htm
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| | Members - Preferred Provider Organization (PPO) Plans FAQ |
| | You can decide to visit a PPO provider any time medical care is needed. | | | You will be receiving quality healthcare from some of the area's most respected private practice physicians and hospitals. | | | Each family member may choose his or her own provider. |
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http://www.odscompanies.com/members/faq_ppo.shtml
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| | Pharmacy Management Program - FAQ's for Providers |
| | As a pharmacist, how can I support the Aetna preferred drug list (also called a formulary) and Precertification and Step-Therapy programs? | | | Whom do I call when I have questions regarding Aetna's prescription drug programs? | | | The site features money-saving tips, interactive videos, a health-information encyclopedia, information on medications, generic drugs and drug safety; get well e-cards; a virtual herb garden; answers to frequently asked questions; information on how to refill medications through Aetna Rx Home Delivery |
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http://www.aetna.com/help/faq_pharmacy_provider.html
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| | Medicare's drug benefit explained / Companies can now tout the details of their plans and directly contact potential ... |
| | Meanwhile, check with your doctor to see if you'll be taking any other medications for a chronic condition within the next year and whether there are generic or brand-name alternatives to the drugs you are taking. | | | Medicare's drug benefit, the biggest change in the program's 40-year history, will be available through a stand-alone Part D policy sold in conjunction with traditional Medicare or through a more-comprehensive but restrictive managed-care health plan called Medicare Advantage. | | | For example, they must cover all drugs in certain categories, such as those used to treat cancer and seizures. |
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http://www.sfgate.com/cgi-bin/article.cgi?file=/chronicle/archive/2005/10/02/BUGN7F0FI21.DTL&type=business
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| | EAP Preferred- Connections |
| | Please consult your health care provider with any questions or concerns you may have regarding your condition. | | | Valley Preferred member organizations enjoy free access to Preferred EAP’s Training and Development Programs. | | | You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified health care provider. |
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http://www.preferredeap.org/links.html
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| | Prevea » Preferred Provider Organization |
| | Our goal is to provide quality health care for you and your family in an effective and friendly manner, while delivering cost savings for you, your family and your employer. | | | New family medicine physician caring for patients at Prevea's Oconto site | | | Although you may visit any provider you choose, selecting a participating PPO provider will save you even more. |
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http://www.preveappo.com
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| | HOMETOWN HEALTH NETWORK LAUNCHES PREFERRED PROVIDER ORGANIZATION; FOLLOWS NATIONAL TREND TO OFFER MORE FLEXIBILITY |
| | HomeTown also will focus on expanding wellness and disease management programs to help promote healthy lifestyles and minimize health problems, enhancing the quality of life of members and, ultimately, containing costs. | | | "Our new PPO meets this demand by offering more choice and flexibility." | | | Studies have shown that health plans requiring primary care physicians with a gatekeeper process provide significant savings compared to plans without this process. |
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http://www.hometownhealthnet.com/about/press/020401.htm
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| | Preferred Provider Organization |
| | Preferred Provider Organization A PPO is an association of health care providers and suppliers of prescription drugs who work together to provide medical services at more affordable cost to health plan... | | | Medicare Preferred Provider Organization Demonstration The goal of this demonstration is to identify options for encouraging continued and expanded... | | | With our preferred provider organization (PPO), you have access to an extensive network of healthcare professionals located... |
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http://www.ducharmeprotectionsystems.com/Preferred-Provider-Organization.asp
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| | Health Care Savings: Where managed care is ALWAYS more than a business. |
| | Health Care Savings (HCS) is committed to ensuring quality medical care and providing sound health care cost management strategies with compassion for patients' needs and respect for physicians' roles in health care. | | | We cover over a half a million lives in |
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http://www.healthcaresavings.com
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| | North Memorial Medical Center - Strategic Partnerships |
| | North Memorial has chosen to remain independent from other health care organizations, but we recognize the value of carefully selected partnerships that strengthen our ability to serve our communities. | | | In addition, we have expanded our relationship with HealthPartners so that more of its 700,000 members can utilize the services of our medical center. | | | We also jointly own PreferredOne - the upper Midwest's leading preferred provider organization - with Fairview Health Services and PreferredOne Physician Associates. |
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http://www.northmemorial.com/about/strategicPartnerships.asp
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| | BehaveNet® Clinical Capsule™: preferred provider organization (PPO) |
| | PPOs are often formed as a competitive response to HMOs. | | | PPOs are entities through which employer health benefit plans and health insurance carriers contract to purchase health care services for covered beneficiaries from a selected group of participating providers. | | | utilization management and other procedures implemented by the PPO, and agree to accept the PPOs reimbursement structure and payment levels. |
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http://www.behavenet.com/capsules/reimb/PPO.htm
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| | [No title] |
| | Extensive Network - More than 95% of health care providers in our three county regions participate in our network. | | | No "Gatekeeper" — SOUTH CENTRAL Preferred is a network of participating physicians, but does not require patients to seek approval from a gatekeeper. | | | Provider Credentialing - Participating providers have been carefully selected based on qualification and experience criteria. |
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http://www.scp-ppo.com/ppo.asp
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| | PPO - Preferred Provider Organization: Equity-League Fund |
| | When Equity-League is your primary health carrier and if you arrange your medical care with doctors who participate in this national PPO, you will be responsible only for a patient copay as outlined in the benefits "grid" shown below. | | | This PPO applies only to the ULLICO Major Medical portion of the Indemnity Plan and does not include benefits through Empire Blue Cross, Davis Vision or the Medco Health Solutions Prescription Plan. | | | For those fund participants enrolled in the indemnity plan that choose to use providers that are "non-participating", claims for medical benefits will be subject to the current indemnity plan deductible of $250 per calendar year per insured and the co-insurance. |
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http://www.equityleague.org/health/health_ppo.html
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| | 31 Pa. Code § 152.4. Scope of Department of Health review of a preferred provider organization. |
| | Scope of Department of Health review of a preferred provider organization. | | | (a) The Department of Health will review the applications of preferred provider organizations which assume financial risk and which utilize arrangements or provisions which may lead to undertreatment or poor quality care. | | | (b) Maintenance of a quality assurance system in accord with Department of Health standards does not require assumption of responsibility for or involvement in the medical treatment of an enrollee beyond that set forth in the contract between the preferred provider organization and the enrollee. |
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http://www.pacode.com/secure/data/031/chapter152/s152.4.html
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| | Beech Street - Beech Comber Search |
| | Washoe Health System in Nevada will no longer be a participating provider after September 30, 2005. | | | The provider you select may not be available to all Beech Street clients due to individual benefit plan or network restrictions. | | | Print a personalized directory of the doctors and hospitals in your area. |
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http://beechplus.beechstreet.com/IPLU/splash.jsp
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| | MVPPO Preferred Provider Organization |
| | Over 48,190 hospitals and health care facilities and 449,000 physicians and specialists provide quality health care services from coast to coast, and our client service department is second to none in the industry. | | | This web site will provide in-depth information about our PPO network, and our on-line Provider Locator can provide driving directions and maps, in addition to the usual address and phone number information on your provider. | | | We offer conveniences not usually provided by other PPOs: |
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http://www.mvppo.com
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| | WPPA - A Kansas Preferred Provider Organization |
| | WPPA has 4,117 physicians and supervised midlevel practitioners, 949 ancillary providers, 140 hospitals and 218 outpatient facilities in our network. | | | you would like to view or print the complete WPPA directory of providers refer to the Directory page. | | | To assure our contracting Groups have access to a statewide network of providers and facilities that have agreed to furnish cost-effective medical care to covered members at a reasonable fee. |
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http://www.wppainc.com
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| | MVPPO Preferred Provider Organization |
| | Is the physician with a group practice or clinic? | | | The provider named will then receive application information for review. | | | If you would like your physician to receive information about becoming a Preferred Provider, complete this form and return it to the address below. |
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http://www.mvppo.com/referral.htm
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| | The Preferred Provider Organization |
| | The In-Network approach allows members to seek care without having to designate a primary care physician. | | | This plan is designed to provide coverage in the event of a catastrophic illness or injury. | | | Health care is only covered when provided by the HMO or when permission is received for emergency care elsewhere. |
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http://www.princeton.edu/hr/ben/bensum.htm
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| | Hemophilia Galaxy Financial Support |
| | Your decision usually depends on how much freedom you want in selecting your doctor and the cost savings you realize with a more limited choice. | | | Co-payments are a sum of money that you will pay each time you receive a service or therapy from a health-care provider. | | | Note: Hemophilia Galaxy does not recommend a particular treatment for specific individuals and recommends that you consult your hemophilia treatment center or physician before pursuing any course of treatment. |
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http://www.hemophiliagalaxy.com/patients/resources/financial.html
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| | First Choice Health Plan |
| | FCHP is complying with our contractual obligations to both our providers and our customers. | | | We offer our network of quality healthcare professionals and facilities to various insurance administrators who pass on the savings of our preferred rates to their eligible members. | | | Costco and Health Net have designed a program with an emphasis on quality that offers outstanding value to its members with affordable rates and a wide selection of participating providers. |
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http://www.fchn.com
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| | Preferred Provider Organization (PPO) |
| | Our clients can save up to 50% on claims costs using our fully EDI ready, HIPAA compliant PPO processing systems/ services! | | | Many PPO and other healthcare companies are selecting to work with AandG Healthcare Services. | | | Since AandG does not work exclusively with any one PPO, we can help you select the best fit for your and your client group needs. |
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http://www.agfinancial.com/provider-organization.html
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| | Blue Shield of California PPO - Preferred Provider Organization Plan |
| | A wide range of benefits, including prescription drug coverage, that are not subject to the deductible | | | This PPO plan for individuals and families is based on our Shield Select Provider Network and features: | | | A prescription drug card with fixed copayments for generic and brand name drugs and a money-saving mail order service for maintenance medications |
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http://www.buyyourinsurancehere.com/ppofam.htm
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| | Preferred Provider Organization |
| | A health care organization comprised of physicians, hospitals or other groups which provides health care services at a reduced fee. |
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http://www.washingtonpost.com/wp-srv/health/policy/popup/ppo.htm
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| | What is A Preferred Provider Organization (PPO)? |
| | A Preferred Provider Organization or PPO is a network or group of medical providers who offer health services to members of participating health plans at a reduced rate. | | | The information for these medical providers and their facilities is made available to members of a health plan. | | | PPO members choose their health care providers while HMO members must receive all medical services through a primary care physician. |
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http://www.finetuning.com/articles/1505-what-is-a-preferred-provider-organization-ppo.html
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| | preferred provider organization |
| | A PPO can also be a group of health care providers who contract with an insurer to treat policyholders according to a predetermined fee schedule. | | | A health benefit plan with contracts between the sponsor and health care providers to treat plan members. | | | PPOs can range from one hospital and its practicing physicians that contract with a large employer to a national network of physicians, hospitals and labs that contract with insurers or employer groups. |
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http://insurance.cch.com/rupps/preferred-provider-organization.htm
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| | Preferred Provider Organization (PPO) |
| | For example, a visit to a PPO doctor might require a $10 co-pay. | | | Staying within the network means better benefits and less paperwork. | | | A Preferred Provider Organization (PPO) is the least restrictive type of managed care. |
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http://www.nextelevation.com/Help/PPOInfo.htm
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| | Preferred Provider Organization Definition |
| | A health care organization composed of physicians, hospitals, or other providers which provides health care services at a reduced fee. | | | PPOs may also offer more flexibility by allowing for visits to out-of-network professionals at a greater expense to the policy holder. | | | A PPO is similar to an HMO, but care is paid for as it is received instead of in advance in the form of a scheduled fee. |
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http://www.investorwords.com/3777/Preferred_Provider_Organization.html
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| | Global Medical Insurance: Preferred Provider Organization (PPO) |
| | This co-payment is waived if there is not a network provider within 50 miles from the location of treatment. | | | You may seek treatment under Global Medical Insurance worldwide, including the United States, at the hospital or doctor of your choice. | | | When seeking treatment in the U.S, you may use IMG's Independent Preferred Provider Organization (PPO), a network of over 350,000 physicians and 3,800 hospitals who are contracted separately. |
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http://www.mcgrathinsurancegroup.com/global/global/ppo.htm
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| | Discovery Health Channel at health-insurance-for-less.net |
| | PPO - Preferred Provider Organization is a health plan with a pre-established provider network. | | | HMO - Health Maintenance Organization, prepaid health plan covers the cost of care to see specific doctors. | | | Related terms are medicare abn, encyclopedia healthcare, ppo of oklahoma, oklahoma healthcare authority, and personal care hmo. |
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http://www.health-insurance-for-less.net/discovery_health_channel_f.html
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| | Beech Street Corporation |
| | 9/9/2005 – A message to Beech Street providers about caring for patients in the wake of Katrina. |
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http://www.beechstreet.com
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