AHIP Medicare Exam Prep 13, Medicare Advantage PPO Rules

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Out-of-network providers are not obligated to treat PPO members for non-emergency or non-urgent care. - PPO plans do not require primary care physician selection or specialist referrals. - Differential cost sharing results in higher out-of-network copayments and coinsurance. - PPO rules require both an in-network MOOP and a combined in-network and out-of-network MOOP. - The FLEX mnemonic for remembering key PPO exam rules and avoiding common test traps. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep