What is a Multiplan PPO?

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asked Mar 24, 2022 in Insurance by Macpavric (680 points)
What is a Multiplan PPO?

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answered Mar 24, 2022 by Avarado (27,970 points)
A Multiplan PPO is a health insurance network that gives you access to an additional choice of providers that have agreed to offer a discount for services.

A PPO is generally a good option if you want more control over your choices and don't mind paying more for that ability.

It would be especially helpful if you travel a lot, since you would not need to see a primary care physician.

HDHPs are typically better suited for people who make infrequent trips to the doctor, while PPOs are ideal for those who make regular visits to the doctor.

The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network.

This network offers access in all states and includes more than 700,000 healthcare professionals, 4,500 hospitals and 70,000 ancillary care facilities.

The 2 types of PPO are.

Regional PPOs, which serve a single state or multi-state areas determined by Medicare.
Local PPOs, which serve a single county or group of counties chosen by the plan and approved by Medicare.

Some disadvantages of a PPO include.

Typically higher monthly premiums and out-of-pocket costs than for HMO plans.
More responsibility for managing and coordinating your own care without a primary care doctor.

MultiPlan delivers patient volume from a diverse base of health care payors, offers administrative ease and accurate claim repricing and provides multiple service options to ensure you get the most out of your network participation.

MultiPlan, Inc. provides healthcare cost management solutions.

The Company specializes in providing claim cost management solutions for controlling the financial risks associated with medical bills.

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