PPO Medical – Preferred Provider Organization

Not necessary to choose a primary care physician. Choice of staying in-network for maximum benefits and co-payments or out-of-network care with deductibles and coinsurances.

PLEASE NOTE: Benefits for this plan are based on a calendar year basis.

Forms and Documents

Application
Enrollment/Change Form

Plan Summaries
PPO/Personal Choice Flex Benefit
PPO/Personal Choice Flex Deductible
Select Drug Benefit

Rates
PPO/Personal Choice Rate Letter
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