| The two main choices open to you when it | | | | policyholders to seek treatment outside of the |
| comes to buying a private medical health | | | | approved network if they wish to do so, within |
| insurance plan are traditional indemnity health | | | | certain limits. |
| insurance and managed care. But what do you do | | | | Unlike a traditional managed care plan, the PPO |
| when neither of these alternatives meets your | | | | does not assign a patient to a primary care |
| needs? | | | | physician through whom all treatment must be |
| This is one problem which has now been | | | | taken and from whom a referral is required for |
| recognized by the insurance companies and today | | | | specialist care. This means that the policyholder is |
| there is an alternative in the form of a Preferred | | | | free to consult any doctor within the network and |
| Provider Organization (PPO) plan which goes some | | | | can also seek treatment from a specialist outside |
| way towards merging the two and providing the | | | | the network if he or she chooses to do so. |
| benefits of both. | | | | There is a course a price to be paid for the ability |
| The choice up until now has been between an | | | | to seek treatment outside of the insurance |
| indemnity plan which essentially provides cover for | | | | company's network and policyholders will normally |
| accidents and unexpected illness, and which also | | | | need to pay a proportion of their costs when |
| gives the policyholder considerable freedom in | | | | such treatment is taken. |
| choosing where and when treatment is taken, and | | | | This meets the needs of many people who want |
| managed care which focuses on providing | | | | the freedom of choice offered by indemnity |
| everyday medical care, but restricts the | | | | insurance and also meets the needs of those |
| policyholder to seeking care within an approved | | | | people who are looking for a low cost plan to |
| network of healthcare facilities. | | | | cover their routine day-to-day medical needs. |
| In essence the new PPO is a managed care plan | | | | provides information on all aspects of medical |
| and provides relatively low cost care in exchange | | | | health insurance including individual and family |
| for policyholders seeking care from within the | | | | health insurance plans, short term health insurance, |
| insurance company's approved network of | | | | expat medical insurance, health insurance for |
| providers. However, a PPO also allows | | | | pre-existing conditions and much more. |