Question 5010 of 287 · Texas Life, Accident and Health Agent Exam

A preferred provider organization (PPO) allows members to

Exactly one answer is correct.

Asee only providers who are employees of the insurer
Breceive care only after getting a referral from a primary care physician, based on the company's internal procedures
Csee out-of-network providers, but at a higher cost than in-network providers
Dreceive reimbursement only for preventive care

Show solution

Correct answer to question 5010

C: see out-of-network providers, but at a higher cost than in-network providers

Explanation

PPOs contract with providers at discounted fees. The member can choose any provider, but benefits are better in the network.