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What is a Preferred Provider Network (PPO) and why is it important to me?

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What is a Preferred Provider Network (PPO) and why is it important to me?

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A PPO is a network of health care providers that have agreed to participate in our plan. These providers bill the plan directly, will not require payment in advance from you (except for the $5 co-pay) and have agreed to a pre-determined fee for all services. Using the PPO can save you money. If you do not go to a provider in the PPO network you will be responsible for paying the difference between what the provider charges and what is a “usual and customary” fee for that service. Using the PPO can save you money. • What if there is no PPO in my area? If there is no PPO in your area, then you may go to any provider and you will not be penalized. You should make very sure that there are no providers in you area; if there are you will be responsible for any difference between the charges and what we pay. You may visit the Seven Corners website at http://americorps.sevencorners.com/ or you can call Seven Corners toll free at 866-699-4186 to verify if there is a PPO in your area. • Who is r

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