PPN stands for Preferred Provider Network. It is the network of hospitals that have deeper tie-ups with respective health group insurance companies to provide seamless and cashless claim services to their policyholders. A hospital joins PPN when both the hospital and insurance company synchronize in their approach on how to serve the policyholders. Therefore, the hospital and insurance companies sign up for an agreement regarding service levels, treatment costs, and discounts on incidental costs incl. pharmacy and pathology, payment terms, patient volume, etc. to firm a long-term partnership. So, let’s get to know how does PPN network policies work.
PPN health insurance policy provides access to a wide network of healthcare providers, discounted rates for services, coordinated care, and potential cost savings. However, it offers limited choice of providers outside the network, potential out-of-network expenses, and restrictions on certain treatments or specialists not available within the network.
It is common for insurers to provide options to policyholders to choose between policies that cover claims in –
- Open network – Open hospital network policies in health insurance allow policyholders to receive medical services from a wide network of hospitals and healthcare providers, offering greater flexibility and access to healthcare facilities within the insurance coverage.
- PPN network only – PPN stands for Preferred Provider Network policies in health insurance, which offer discounted rates and benefits when receiving healthcare services from network providers.
To reiterate, PPN network policies are cost-effective compared to Open network policies as insurers are able to translate the savings from claims to policy premiums.
Below are a few insurers that offer policies with PPN network –
- All Public Sector Insurers (NIA, NIC, UIIC & OIC)
- ICICI Lombard GIC
- Religare Health – Now Care Health
- Reliance GIC
Written By-
Mayank Sharma
MBA Finance
He is a professional who brings extensive knowledge and expertise to the field of group health insurance. He has dedicated 7years to helping individuals and businesses navigate the complexities of insurance. Having worked closely with numerous clients and insurance providers, he deeply understands the nuances of group health insurance policies. With a reputation for providing insightful and informative content, he leverages his industry experience to educate readers about the importance of group health insurance and its benefits. Through their articles, Mayank Sharma aims to empower individuals and businesses to make informed decisions about their healthcare coverage, ultimately promoting healthier and more secure communities.
