What must a PPO plan inform clients regarding non-emergent eligible services outside of the network?

A PPO plan must inform clients that they will incur additional costs when seeking non-emergent eligible services outside of the network. This is important because PPO plans typically offer more flexibility in choosing providers, including out-of-network options. However, using out-of-network providers usually comes with a higher financial obligation for the member compared to using in-network providers. This means that while clients have the option to receive care outside the network, it is crucial they understand the potential for increased out-of-pocket expenses associated with that choice. Highlighting this aspect helps to ensure that clients make informed decisions about their care and finances.