Preferred Provider Organizations (PPOs).
A PPO is a form of managed care, but it is more similar to a traditional "fee-for-service" type plan. PPOs contract with doctors, hospitals, and other providers to provide services for an agreed-upon charge. You may choose to use a non-contracting doctor, but you will pay a higher co-payment (40% vs 20%) These plans are available statewide and some are available outside of California.
Unlike an HMO, where a primary care physician directs all your care, a PPO allows you to select a provider and a specialist without a referral. There are annual deductibles to meet before the plan will pay benefits, (other than doctor visits), and you are responsible for a certain percentage of the charges (co-insurance). The plan pays the balance up to the contracted amount.
To find out more about how to use your PPO plan please refer to ABCs of Using a PPO
PERS Choice, PERS Select, or PERS Care
- Visit website
- PERS Anthem Blue Cross PPO Online Provider Directory
- PERS Choice PPO Evidence of Coverage (EOC)
- PERS Choice Benefit Guide
- PERS Choice PPO Summary of Benefits and Coverage
- PERS Select PPO Evidence of Coverage (EOC)
- PERS Select Benefit Guide
- PERS Select PPO Summary of Benefits and Coverage
- PERS Care PPO Evidence of Coverage (EOC)
- PERS Care Benefit Guide
- PERS Care PPO Summary of Benefits and Coverage