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In Medicine / College | 2025-07-06

If a patient with a preferred provider organization (PPO) chooses to use a non-PPO, the patient usually can expect
A. 100% reimbursement for the service provided
B. To pay the full cost of care
C. A one year waiting period before re-enrolling in the PPO
D. To have higher out-of-pocket expenses

Asked by titus280

Answer (2)

When a PPO patient chooses a non-PPO provider, they can expect higher out-of-pocket costs. This is due to the lack of negotiated rates for services outside of the preferred network. Therefore, the best choice is D. ;

Answered by GinnyAnswer | 2025-07-06

When a PPO patient uses a non-PPO provider, they generally face higher out-of-pocket expenses due to the absence of negotiated rates. The best answer is D. To have higher out-of-pocket expenses . This is due to the lack of discounts that apply to in-network providers.
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Answered by Anonymous | 2025-07-07