A __________ is a selected group of hospitals and medical practitioners in a given area who have joined together to reduce medical costs.

Study for the Insurance Customer Service Rep 440 Test. Enhance your skills with flashcards and multiple choice questions, complete with hints and explanations. Prepare for exam success!

A Preferred Provider Organization (PPO) is a selected group of hospitals and medical practitioners who collaborate to provide services at reduced costs. This structure allows members to receive care from a network of providers who have agreed to lower their fees for patients within the organization. The key aspect of a PPO is the flexibility it offers, allowing patients to seek services from both in-network and out-of-network providers, though they may incur higher out-of-pocket costs for out-of-network services.

The focus of a PPO is not solely on preventive care, unlike some other healthcare models, which means it can cater to a broader range of medical needs while potentially reducing overall healthcare expenses for its members. Members typically appreciate the ability to self-refer specialists without needing a primary care physician’s approval, contributing to the model's appeal.

In contrast, other choices do not fully encapsulate the characteristics of a network designed primarily to cut medical costs through collaboration among providers. Health Maintenance Organizations (HMOs) usually require members to choose a primary care physician and obtain referrals for specialists, focusing more heavily on preventive care. Indemnity networks offer more flexibility but do not concentrate on a selected group of providers for cost savings as PPOs do. Exclusive Provider Organizations (EPOs) limit coverage to

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