PPO Plus
The Definity Health PPO Plus program offers members the familiarity of traditional
PPO plan designs with the added benefit of tools and resources specifically
designed to assist them with all of their healthcare decisions. For employers,
our PPO Plus program may provide a “first step” toward a more
consumer-focused health benefit.
Plan Components
Deductible
PPO plan members
must meet an annual deductible prior to plan coverage. Deductible
amounts vary based on coverage tier and use of in- or out-of-network
providers.
Health Coverage
Once the deductible is met, Health Coverage takes effect, covering medical
and pharmacy services. Typically, there is cost-sharing between the plan
and member during Health Coverage in the form of coinsurance and / or copayments,
up to an out-of-pocket maximum.
Preventive Care
Preventive care services typically are covered 100% in-network as a component
of Health Coverage.
