HMO The following chart is an overview of how the PPO plan works. You may use non-preferred providers, but you will pay more out of pocket to do so.

OSF HealthPlans PPO Options

  Preferred Providers Non-preferred Providers
Level of Coverage You will pay less out of pocket. You may pay more out of pocket.
Claim forms to file No claim forms. You are responsible for any claim forms to be filed.
Balance Bill (any amount billed by your provider that exceeds the allowed amount) Participating providers will not balance bill you. You may be responsible for any amount above our allowed amount that the provider bills.

How the PPO Works

PPO Frequently Asked Questions

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