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Help me understand my PPO
Many people have a PPO health insurance plan these days. They are very popular with consumers. They provide flexibility and freedom and that is what consumers are looking for. PPO’s are not difficult to understand , here are some basics:
The first thing to understand is your lifetime maximum. A life time maximum is the amount the insurance will pay out in your lifetime. If you met that maximum your health insurance will cease. These maximums typical are 2 million to 5 million.
The next order of business is total out of pocket or deductibles and co insurance combined. Your deductible is the amount you will be responsible for annually before the insurer shares expenses with you. The co insurance is the amount they will share once your deductible is met.
Most PPO plans include the office visit co pay. This co pay amount can vary from one plan to another and one carrier to another. Basically, if you have a office visit you would pay the set amount such as $25 and the insurance company will pay the rest. Co pays waive the deductible.
Prescription coverage is important to many and that is a popular reason that people choose to go with a PPO. A PPO usually has co pay limits set forth for Prescriptions. The co pay amounts vary depending on the kind of prescription and sometimes has maximum limits each year.
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