Skip to content
Often, PPO networks are a hot topic. What are they exactly? We are going to explore Multiplan health insurance and what it broadly means. The first thing you should understand is that Multiplan is a type of PPO founded in 1980. That makes it America’s largest and oldest independent PPO network. It brings to the table a range of facilities and caregivers. For example, do you know that Multiplan has 4,500 acute care treatment facilities under its larger umbrella along with over 550,000 healthcare professionals? That sheer number ensures that you find a doctor to work with irrespective of your medical needs.
Within the Multiplan networks, you will find many participants ranging from large to mid-sized insurers. Furthermore, you will discover HMO’s, self-funded plans, and even third-party administrators. The likelihoods are endless and it is a network that really serves to benefit the customer in various ways.
What is a Multiplan PPO Insurance?
This is one of the major questions that most people have when talking about Multiplan. It is something that occurs several times and sometimes few answers are offered. We are going to spend time going over it and explaining just how PPO works.
A PPO stands for Preferred Provider Organization which is exactly what it sounds like. The PPO operates in a similar fashion to an HMO and can furnish the customer with a variety of healthcare providers that they can then use for their medical care.
A PPO helps in covering the costs of care that are offered to plan members, and at first glance here someone might think that they are both the exact same thing. However, that could not be further from the truth. One of the most noticeable differences between these two plans is their flexibility. For instance, a PPO is more flexible as compared to an HMO as it allows a greater range of care. Essentially, you will choose among any of the various care providers you want and have it completely covered.
How Does Multiplan PPO Good Insurance Coverage Work for Rehab Treatment?
Insurance is a common method to cover addiction treatment expenses. However, the challenge is discovering what your specific insurance policy implies and what kind of insurance coverage it offers for addiction treatment.
MultiPlan is a facilitator of preferred provider organization (PPO) networks. That means it does not directly offer insurance to its members. At Health Insurance Plans, we can help you recognize what your MultiPlan coverage for rehab is like to help you get the substance abuse treatment and care you deserve.
How Does One Confirm His or Her Multiplan PPO Insurance Policy?
Although most insurance providers cover part or the full cost of addiction treatment, it is vital that you know this information about your specific insurance policy. Such knowledge will assist you to perform successful research about the best addiction treatment centers that accept MultiPlan insurance coverage.
If your insurance company is through the MultiPlan network, you will be required to call the benefits administrator of your specific plan. They will walk you through your insurance policy and tell you what kind of coverage you have for addiction treatment.
When on the call with an administrator, remember to ask the following questions:
- What kinds of substance abuse treatment services are covered under my plan?
- What length of treatment period is covered with my insurance?
- What out-of-pocket expenses should I anticipate pay?
Answers to all these questions give a clear understanding of what is covered by your insurance policy versus what is not.
Since there is always a likelihood that your coverage will be denied, ensure that you ask the benefits administrator if there is an appeal process and note all the steps. It will be imperative for you to follow this process exactly if you need to appeal to get your coverage accepted and approved.
Find Out How to Get Started with multiple PPO
If you are ready to start treatment for your addiction at any addiction treatment center, we can help. Call our friendly admissions team and learn about the next steps you should take. Our team at Health Insurance Plans can help you verify your insurance benefits and answer all the questions you may have about Multiplan PPO Plans.
Finding the right plan for you doesn’t have to be complicated. Get an affordable insurance solution for you in just a few clicks. Just fill in the form with details of the health plan you need and we’ll offer you a quote that matches those details.