National PPO Health Program

Mutual of Omaha's National PPO Health Program offers employers a group health carrier with the strength and reach to provide one health plan package, fully-funded or self-insured, for multiple corporate locations. Employees enjoy maximum freedom of choice to manage ever-changing medical coverage needs at home or away, including the freedom to choose any physician they wish.

Flexible Provider Access

Employees have complete freedom to go to any health care provider, including direct access to specialists without prior approval from a primary care physician. For employees who travel regularly or have dependents living in other locations, in-network medical care can be received from providers participating in our nationwide PPO network.

In-Network Care-Advantages for Employees

• The plan pays a larger percentage of the expenses
• Deductibles may be lower
• Employees shielded from U&C charges
• No claim filing for employees

Out-of-Network Care - Higher Out-of-Pocket Costs

• The plan pays a lower percentage of expenses
• Deductibles may be higher
• Coinsurance percentages are higher

Preventive Care

• Routine examinations
• Routine Childhood immunizations
• Routine Mammograms

Flexible Plan Design

• Two-tier copayment option to encourage primary care physician visits, important to routine care - higher copayment for direct access to a specialist
• Additional copayment options
• Multiple deductible, coinsurance and out-of-pocket options
• Prescription drug plans with multi-tier copayments and deductible/coinsurance options
• A customer-friendly medical management program to carefully balance quality care with the best use of health care dollars.
• A claims optimization program that delivers cost savings by managing every dollar as if it were our own.

Employer Resources

• Access Your Account
• Group Plan Member Services
• Find a Group Sales Office

 

Other Products