Make The Most Of Your PPO Plan. PPO is a type of health plan that contracts with medical providers such as hospitals and doctors to create a network of participating providers.
Defining a Network – Who are my providers?
Providers in our network include doctors, hospitals, pharmacies- anywhere you receive care. When it comes to defining physicians there are two types you should be familiar with: • Primary Care Physician (PCP): Your general doctor for basic needs • Specialist Care Physician (SCP): Your doctor who specializes in certain types of care (knees, eyes, etc.) Providers who have contracted with the plan are “in-network” and providers who have not contracted with the plan are “out-of- network.” You are not required to choose a Primary Care Physician. You have a complete choice of providers within your network.
Referrals to specialty providers are not required
Increased flexibility
• Angle’s PPO does not require the use of in- network providers, however, visiting an out- of-network provider generally will result in additional cost sharing for you. • Providers who are in-network can be used with generally lower cost sharing for you. • PPO networks allow you to have the most flexibility in accessing any providers as you see fit. You typically have access to many more doctors than an HMO (Health Maintenance Organization).
Finding or Changing your Provider
Not sure if your provider is in network? Check out the provider search tool: anglehealth.com/network-directories. As always, we encourage you to reach out to our Care Team if you are looking for a new provider or have any questions.
9 Terry Miller Service Company 2024 Benefits Guide |
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