Glossary - Know exactly like a health insurance expert!
What is Participating Provider?
a medical provider who has been contracted to render medical services or supplies to insureds at a pre-negotiated fee. Providers include hospitals, physicians, and other medical facilities.
What is Preferred Provider Organization (PPO)?
a health care delivery arrangement which offers insureds access to participating providers at reduced costs. PPOs provide insured's incentives, such as lower deductibles and copayments, to use providers in the network. However, insureds may use ANY doctor and still receive some benefit. Network providers agree to negotiated fees in exchange for their preferred provider status.
What is Provider?
a physician, hospital, health professional and other entity or institutional health care provider that provides a health care service.
What is Primary Care Physician (PCP)?
a physician that is responsible for providing, prescribing, authorizing and coordinating all medical care and treatment.
|
