What is the difference between network and non-network?
A Preferred Provider Organization (PPO) is a network of providers (known as network providers) that have been contracted to provide services at discounted rates. The discounted rates and the associated savings are the biggest difference between network and non-network providers and benefits. The Fund shares this savings with you by reducing the amount that you owe for the services performed. With a PPO network provider, you owe the 20% of the discounted amount. With a non-PPO network provider, you will be responsible for 40% of the charged amount, as long as the charge is within the reasonable and customary guidelines; any amounts over the reasonable and customary guidelines are your responsibility.
