Health Promotion and MaintenanceQuestion 1818 of 2368

A client with a PPO plan asks about seeing a provider who is out of the network. Which response is correct?

  1. That choice is not allowed under any PPO plan
  2. That choice costs less than seeing an in-network provider
  3. That choice requires a referral from the primary care provider
  4. That choice is allowed, but the cost to the client will be higher
Show answer

Correct answer: That choice is allowed, but the cost to the client will be higher

PPO plans give consumers the choice to use out-of-network care at a higher cost. Referrals are not generally required.

Source: Nursing Management and Professional Concepts, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Health Care Economics: Types of Insurance Coverage. Licensed under CC BY 4.0.

Practice the topic "Health Promotion and Maintenance"

Questions last reviewed: 18 October 2026