Medicare Advantage PPO (preferred provider organization) plans give members the flexibility to choose physicians, so they have coverage wherever they go within the United States or its territories. Even though non-contracted physicians don’t have to see every member (except in emergencies) and out-of-network services can cost more, PPO plans are a popular option, making up over 40% of plans.
As with just about every Medicare Advantage plan, PPO plans can require prior authorization, a process through which the physician or other healthcare provider must obtain approval from the plan in advance of any recommended procedure.
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