Commission for Case Manager Certification (CCMC) Exam 2025 – 400 Free Practice Questions to Pass the Exam

A Preferred Provider Organization (PPO) operates by allowing its members greater flexibility and choice when it comes to selecting healthcare providers. Members of a PPO can visit any provider they choose, both in the network and out of the network, without needing to obtain a referral from a primary care physician. This feature is a fundamental characteristic of how PPOs structure their services, as it aims to provide convenience and access to a wider range of healthcare options.

In contrast to other plan types, such as Health Maintenance Organizations (HMOs), which typically require members to select a primary care physician and get referrals for specialist care, PPOs emphasize individual choice and autonomy in selecting healthcare providers. This flexibility is appealing to many consumers who want to manage their care without the added layer of prior approval or referrals. Additionally, while using in-network providers can lead to lower out-of-pocket costs, members are still fully able to seek care outside of the network when they prefer or need to do so.