What is the difference between Multiplan Limited Benefit PPO Network and Multiplan's regular major medical PPO network?

As far as we can see, there are few differences. Some providers may not be in both but we have not come across any specific examples yet.

In the Multiplan Limited Benefit network, the re-pricing occurs prior to the insurance benefits being assessed to the balance of the charges. Since each provider holds their own contract with the network so discount levels and services discounted can and do vary by provider.

The primary role of the PPO is to reprice medical bills. But the secondary and often overlooked benefit is that by enabling access to medical care without pre-payment or cash at time of service, the PPO essentially enables access for millions who would otherwise be shut out simply because they lack cash at the moment that care is needed.

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This is limited benefit medical insurance that does not cover all medical costs.

Available in Alabama, Arizona, Arkansas, California, Delaware, District of Columbia, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Louisiana, Mississippi, New Mexico, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin and Wyoming .

Details of coverage may vary by state.

Preferred provider network (PPO) medical service providers are listed at Multiplan Limited Benefit Plan Network.

Contact the Core Health Insurance administrator's office directly for all verification, billing and claim questions at (800) 279-2290. If no answer, leave a detailed call-back message.

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Source: www.corehealthinsurance.net

Category: Insurance

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