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Our PPO option is the perfect addition
to our trusted HMO product

NHP has partnered with Private Healthcare Systems (PHCS) by MultiPlan to offer a range of PPO options alongside our trusted NHP Prime™ HMO plans.

The NHP Prime PPO plans offer access to the nation's largest independent network of providers. Members with highly specialized network needs or who live out-of-state can choose from any one of 675,000+ preferred providers in PHCS’s network.

PPO plan options for Small and Large Groups

Plan name -
FOR SMALL and LARGE EMPLOYERS

Annual Deductible

Annual Max
Out-of-Pocket

Office
Visit

Retail
Prescriptions

Emergency
Room

Inpatient
MEDICAL
Admission

NHP Prime PPO (PD) 1000/2000(embedded deductible/MOOP)

SOB SBC

$1,000/$2,000

$5,000/$10,000

IN:
$20
OON:(D) 20%

$25/$35/$70 (D) $100

IN: (D)
OON: (D) 20%

NHP Prime PPO (PD) 2000/4000 (embedded deductible/MOOP)

SOB SBC
$2,000/$4,000 $5,000/$10,000 IN:
$20
OON: (D) 20%
$20/$30/$50 (D) $100 IN: (D)
OON: (D) 20%

NHP Prime PPO HSA (PD) 1500/3000 (aggregate deductible/MOOP)

SOB SBC
IN:
$1,500/$3,000
OON: $3,000/$6,000
IN:
$3,000/$6,000
OON: $10,000/$20,000
IN:
(IN-D)
OON: (OON-D) 20%
(IN-D)
$20/$30/$50
(IN-D) IN:
(IN-D)
OON:
(OON-D) 20%

NHP Prime PPO HSA (PD) 2000/4000 (aggregate deductible/MOOPM)

SOB SBC
IN:
$2,000/$4,000
OON: $4,000/$7,000
IN:
$5,000/$10,000
OON: $10,000/$20,000
IN:
(IN-D)
OON: (OON-D) 20%
(IN-D) $25/$40/$80 (IN-D) IN:
(IN-D)
OON:
(OON-D) 20%

 

PPO plan options For Large Groups Only

Plan name - FOR LARGE EMPLOYERS

Annual Deductible

Annual Max
Out-of-Pocket

Office
Visit

Retail
Prescriptions

Emergency
Room

Inpatient
MEDICAL
Admission

NHP Prime Solutions PPO HSA 3000/6000 (aggregate deductible/MOOP)

SOB SBC
IN:
$3,000/$5,000
OON: $6,000/$9,000
IN:
$5,000/$10,000
OON: $10,000/$20,000
IN:
(IN-D)
OON:
(OON-D) 20%
(IN-D)
$25/$40/$80
(IN-D) IN:
(IN-D)
OON:
(OON-D) 20%

Small and large employers have the choice to offer the NHP Prime PPO option alongside an
NHP HMO plan to a limited number of their NHP subscribers, per underwriting guidelines.

Enrollment Form

Questions about the NHP PPO option?

To learn more, please log in to our broker portal, call your NHP sales representative or the sales support team at 866-643-8392 or email us at brokers@nhp.org



PHCS PPO Provider Directory

You can access the PHCS PPO Provider Directory here.

See our PPO plans Copayment cross reference grid here.