Understanding PPO Insurance in detail


With a PPO Health Insurance Plan, one can opt for the insurer’s network of doctors and hospitals. Preferred Provider Organization (PPO) insurance comes with an array of healthcare amenities for the insured. They are one of the most on-demand insurance plans. The benefits that people may attain are always higher than that of out-of-network hospitals. Insurance companies have an inside network of hospitals that lower their rates for the insured. It is quite convenient for the individual as well. Such a health insurance plan eliminates the necessity of a referral from a primary care physician. It is helpful as individuals can get coverage for out-of-network claims as well.


Knowing the difference between the distinct kinds of insurance plans can ensure better financial aid. Health Maintenance Organization (HMO) is very much like PPO health insurance plan. However, the critical difference lies in the extended coverage and flexibility provided by PPO insurance. The difference between HMO and PPO is that the network of PPO is notably vast. It is much more resourceful and patients can be attended by specialists instead of Primary Care Physician.

Both the plans involve medical provision at lower rates without compromising the quality. However, in PPO insurance people can switch from doctor to doctor without the need for a referral. Under the HMO insurance plan, medical compensation is given only if one visits the in-house doctors. However, in PPO insurance, people are provided for even against out-of-network clinics. With the steep escalation of medical expenses, families are opting for PPO insurance.


• SMOOTH MEDICAL TREATMENT: The chief objective of any health insurance plan is to make medical aid hassle-free. The PPO health insurance policy constitutes a dependable network of hospitals and doctors. The healthcare providers tied to a particular insurance company treat the insured patients at discounted rates.

• ABUNDANCE OF CHOICE: PPO insurance comes with various options of healthcare services. This makes it easier for individuals to come to a thoughtful decision about their treatment.

• FLEXIBLE APPROACH: It is extremely flexible as patients need not require a referral from a primary care physician (PCP). They can opt for any kind of upgraded treatment of their choice. In HMO, patients can get treated only by the PCP and need referrals in case of a switch.

• ALTERNATIVE OPTIONS: There is also the facility to visit out-of-network doctors and hospitals unlike the case in HMO. These are some of the elemental differences between HMO and PPO. However, the charges will be relatively higher as compared to inside the network of healthcare providers. Thus it is wiser and time-saving as well to stick to the existing network of doctors as given by the PPO plan.

• MAKES THINGS EFFORTLESS: The PPO insurance plan is advantageous owing to the systematic arrangement of healthcare providers. It is highly efficient and gives the patient various options to choose from.


ManipalCigna Health Insurance Company Ltd (Formerly known as CignaTTK Health Insurance Company Limited) | CIN U66000MH2012PLC227948 | IRDAI Reg. No. 151 
Reg. Office: 401/402, 4th Floor, Raheja Titanium, off. Western Express Highway, Goregaon (East), Mumbai- 400 063 | Toll free number – 1800-102-4462 | Website address –
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