affiliates have more than 20 years experience in practice, development,
management, acquisition and turnover.
Preferred Provider Organizations
- PPOs are similar
to HMOs in that they enter into contractual arrangements with healthcare
providers ( e.g. physicians, hospitals and other healthcare professionals)
who together form a "provider network."
- Unlike an HMO,
members don't have a PCP ("gatekeeper") nor do they have to
use an in-network provider for their care. However, PPOs offer members
"richer" benefits as financial incentives to use network providers.
The incentives may include lower deductibles, lower co-payments and
higher reimbursements. For example, if you see an in-network family
physician for a routine visit, you may only have a small co-payment
or deductible. If you see a non-network family phyhsician for a routine
visit, you may have to pay as much as 50% of the total bill.
- PPO members typically
don't have to get a referral to see a specialist. However as mentioned
above, there's a financial incentive to use a specialist on the PPO's
- PPOs are less
restrictive than HMOs in the choice of healthcare provider. However,
they tend to require greater "out of pocket" payments from
Medical Alliance, P.A.
595 South Federal Highway, Suite 250
Boca Raton, Florida 33432