Out-Of-Network Provider: Any health care provider that does not belong to a CIGNA network. Members can use their benefits for out-of-network expenses, but miss out on in-network discounts.

 

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Out-Of-Network Provider: Any health care provider that does not belong to a CIGNA network. Members can use their benefits for out-of-network expenses, but miss out on in-network discounts.

Preferred Provider Organization (PPO) Plan: A specific type of CIGNA health plan with a national network of physicians. Plan members can visit physicians both in and out of the network, and can visit specialists without a referral. Me . . . View Full Definition

Preferred Provider Organization (PPO): A healthcare benefit arrangement designed to supply services at a discounted cost by providing incentives for members to use designated healthcare providers (who contract with the PPO at a d . . . View Full Definition

Preferred Provider Arrangement (PPA): As defined in state laws, a contract between a healthcare insurer and a healthcare provider or group of providers who agree to provide services to persons covered under the contract. Example . . . View Full Definition

Preferred Provider Organizations (Ppos): You or your employer receive discounted rates if you use doctors from a pre-selected group. If you use a physician outside the PPO plan, you must pay more for the medical care.

Plan Provider: The plan provider of a retirement savings plan, such as a 401(k), 403(b), or 457 plan is the mutual fund company, insurance company, brokerage firm, or other financial services company that . . . View Full Definition

Primary Care Provider (PCP): A health care professional (usually a physician) who is responsible for monitoring an individual's overall health care needs. Typically, a PCP serves as a 'quarterback' for an individual's m . . . View Full Definition

Provider Network: A panel of providers contracted by a health plan to deliver medical services to the enrollees.

Provider-Sponsored Organization (PSO): A healthcare organization—established and organized, or operated, by a healthcare provider or a group of affiliated healthcare providers to arrange for the delivery, financing, and administr . . . View Full Definition

Provider Manual: A document that contains information concerning a provider's rights and responsibilities as part of a network.