I picked a PPO for the flexibility, but now every time I go out of network the bills are outrageous. What’s the point of even having a PPO?

Answered by 2 licensed agents

Preferred Provider Organization, each Health Insurance company has a PPO Network and it is prudent to work within that Network if you can. PPO's are more costly for insurance companies because of the Out of Network usage. Try to work within your PPO Network to keep your costs down. Your Local Broker should be able to direct you to a copy of your Local Network of Providers. Your Insurance provider also has ways to search for In Network Physicians.

Answered by Tammie Rutledge on March 29, 2025

Broker Licensed in WA, AZ, FL & ID, MT, OR & TX

Answered by Tammie Rutledge Medicare Insurance Agent
I totally understand your frustration!

Having a PPO (Preferred Provider Organization) plan is supposed to give you flexibility and freedom to choose your healthcare providers, both in-network and out-of-network. But, when the out-of-network bills start piling up, it can be overwhelming.

The point of having a PPO is to have access to a wider network of providers, including specialists, without needing a referral. However, it's essential to understand that out-of-network care usually comes with higher costs.

To avoid surprise medical bills, it's crucial to:

- Carefully review your PPO plan's network and coverage

- Verify the network status of your healthcare providers

- Understand the out-of-network costs and billing procedures

If you're feeling overwhelmed or unsure about your PPO plan, I'm here to help!

As a licensed health insurance broker, I can guide you through the complexities of Medicare and health insurance. Let's work together to find a solution that fits your needs and budget.

Call me today at 407-244-6951 to schedule a consultation. Let's navigate the healthcare system together and find a plan that gives you the flexibility and affordability you deserve!

Answered by Carmen Zorrilla on March 30, 2025

Broker Licensed in FL, AZ, KS & 7 other states

Answered by Carmen Zorrilla Medicare Insurance Agent

Tags: Coverage Medicare Advantage

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