Individual Health Insurance - Preferred Provider Plan

Preferred Provider Plan

Typical $500 Deductible Preferred Provider Plan (PPO) with Doctor Visit Feature

Only covered expenses are considered eligible for payment.

Know your policy’s limitations and exclusions.

Some policies have the further stipulation that expenses must be for medically necessary care.

Other policies may include limited preventative care.

The office visit may not be all the doctor charges you for.
$10.00 DR. Visit

Could also include lab, x-ray, and surgery.
Deductible may apply.

Allows you to go to the doctor without having to meet the deductible.
Does NOT count toward the deductible.

$2,000,000
Lifetime Maximum

Insurance
Company
Pays at
100% Rate

You Share Expenses
You Pay 20%	They Pay 80%

You Pay
All
Expenses
(Deductible)

The
company
has a list of
Network or
Preferred
Providers

	If you go outside the PPO Network you pay a penalty, usually of 20%.
	May be waived for an accident in the first 90 days.

Physician Visit Feature

PPO Policy (Using Preferred Providers)

2000 West Harvard Ave. Suite 100, Roseburg, OR 97470 - 1-888-957-5001

Hours: Monday - Thursday 9:00am - 5:00pm, Friday 9:00am - 4:30pm Pacific Time. Closed for lunch.

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