Feb 28, 2020 17:06
4 yrs ago
34 viewers *
English term

preferred benefits

English Other Insurance
Look at the picture please.

Does it really mean the benefit of a Preferred provider organization?
Votes to reclassify question as PRO/non-PRO:

Non-PRO (1): Yvonne Gallagher

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Discussion

Lydia De Jorge Feb 28, 2020:
Benefits refers to services offered by the PPO. This includes physicians, laboratories, pharmacies, etc. As long as they are within the approved PPO network, there is no additional costs to the patient. If you seek services out-of-network, you will have to cover all or most of the cost.
Sheri P Feb 28, 2020:
It really means a combination of the first two answers posted.
Masoud Kakouli Varnousfaderani (asker) Feb 28, 2020:
I don't have a definition section. I found this online: https://www.priorityhealth.com/glossary/what-are-preferred-b...
AllegroTrans Feb 28, 2020:
Asker I see this is from a the t&cs of an insurance policy. If you look at the definitions section you will probably find that there is a definition of preferred benefits and non-preferred benefits. Some basic web research also ought to find these terms.

Responses

+2
25 mins
Selected

benefits when the care is provided by an approved physician

The clue is in "in-network" just below. If you get treatment from one of the insurance company's registered medical professionals, you pay less. If you go out of network, for example if you don't like the in-network providers or you have the misfortune to get run over by a bus in the wrong place, it's a lot more expensive.

"Preferred" basically means "higher" in your case.
Peer comment(s):

agree Yvonne Gallagher
4 hrs
agree AllegroTrans
21 hrs
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4 KudoZ points awarded for this answer.
+1
8 mins

benefits included in your premium

These are the benefits 'assigned' by the PPO and you don't pay additional fees.
Peer comment(s):

agree Yvonne Gallagher : along with your additional Dbox comments
1 day 1 hr
Thanks!
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-2
2 hrs

The advantages which have priority

When that specific advantage is prior
Peer comment(s):

disagree Lydia De Jorge : This makes no sense. Sorry!
54 mins
disagree AllegroTrans : Makes zero sense and your explanation is meaningless
4 hrs
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2 hrs

benefits when you choose an in-network provider

in-network providers are providers that have agreements with the insurance company.

Providers may be doctors, clinics, hospitals, medical tests laboratories, ...
Peer comment(s):

neutral philgoddard : I've already said this.
4 hrs
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