Illinois Health Insurance Practice Exam 2025 – 400 Free Practice Questions to Pass the Exam

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What is a key feature of PPO plans?

They require referrals to see specialists

They provide coverage only in-network

They allow patients to see any doctor without a referral

A key feature of PPO (Preferred Provider Organization) plans is that they allow patients to see any doctor without a referral. This flexibility is one of the primary attractions of PPO plans, as it empowers members to choose their healthcare providers without needing to secure prior authorization or referrals from a primary care physician. Patients can view specialists and other healthcare providers, whether they are in-network or out-of-network, enhancing their autonomy in making healthcare decisions.

PPO plans typically offer a network of preferred providers, encouraging members to seek care from these professionals to receive better coverage, but they do not restrict them to just those practitioners. This makes PPOs very appealing to individuals who desire more freedom in their healthcare choices, as they can access a wider range of services while still having the option to go out-of-network if needed, albeit usually at a higher cost.

In contrast, some other types of plans, like HMOs (Health Maintenance Organizations), require referrals to see specialists, thereby limiting patient autonomy. Additionally, coverage in PPO plans is not solely restricted to in-network providers; members can opt to see out-of-network providers, which is another distinguishing characteristic. Lastly, while PPO plans may have competitive premiums, they do not necessarily have the lowest premiums among all insurance options, which

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They have the lowest premiums among all plans

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