Participating Provider - A medical provider who has been contracted to render medical services or supplies to insureds at a pre-negotiated fee. Providers include hospitals, physicians, and other medical facilities.
Physician network - A group of physicians that participates in special arrangements with the insurance company to provide services for negotiated fees in exchange for their preferred provider status.
Preferred Provider Organization (PPO) - A health care delivery arrangement which offers insureds access to participating providers at reduced costs. PPOs provide insureds incentives, such as lower deductibles and co-payments, to use providers in the network. Network providers agree to negotiated fees in exchange for their preferred provider status.
Premium Only Plan (POP) - A program made possible by Internal Revenue code provisions allowing for employee contributions for premium payments to be made on a pre-tax basis. In most cases, taxable income is reduced and take home pay is increased so your company's Social Security and Medicare tax expense is lower.
Prescription Drug Copay plan - A plan that provides coverage for prescription drugs in which the insured pays a specific charge for different classes of drugs.
Preventive screening - Wellness services such as colonoscopy, blood tests, and physical exams provided to otherwise healthy individuals in an effort to avoid illness.
Primary Care Physician (PCP) - A physician that is responsible for providing, prescribing, authorizing and coordinating all medical care and treatment.
Provider - A physician, hospital, health professional and other entity or institutional health care provider that offers a health care service.