How To Negotiate With Your Preferred Provider Organization (PPO)

How can I negotiate with my PPO?

With a PPO, the same thing. With a medical director, if you're needing someone or a specialist that you don't feel is within their network, and you want them to pay the full reimbursement level of a specialist outside their network, you can talk to them about it. And sometimes, in rare disease cases, they will go and get an individual contract for you, for say your infant, who needs some specialized treatment, and you can go to that specialist. So that's the type of thing where they'll say we don't have someone, and they'll try to argue that their person in network is just as good as the person you want to go to. That's where you say, well this person is better for these reasons, and can you get a contract with this person so I can go there. And sometimes there's flexibility there.