Virginia Insurance Marketplace Practice Exam

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What is the main advantage of a PPO insurance plan over an HMO?

PPOs require less paperwork

PPOs provide more flexibility in provider choices

A primary advantage of a Preferred Provider Organization (PPO) insurance plan is the increased flexibility in provider choices. Unlike Health Maintenance Organizations (HMOs), which typically require members to choose a primary care physician (PCP) and obtain referrals for specialists, PPOs allow individuals to see any healthcare provider without needing a referral, even outside of their network. This means that PPO members have the freedom to consult various specialists and receive care from diverse providers, which can lead to more personalized and immediate access to healthcare services.

Members of a PPO can also go outside of their preferred network of doctors if they choose to, although it may involve higher out-of-pocket costs. This flexibility can be particularly important for individuals who want to retain more control over their healthcare decisions or who may have specific healthcare needs requiring specialist attention.

Other options might suggest characteristics such as cost-efficiency, paperwork simplicity, or coverage of preventive services; however, these aspects do not define the fundamental strength of a PPO as a choice for many consumers who value the ability to select their healthcare providers freely.

PPOs are generally less expensive

PPOs cover more preventive services

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