# AHIP Medicare Exam Prep 13, Medicare Advantage PPO Rules

Page: https://stenobird.com/podcast/insurance-exam-prep-7644557/ahip-medicare-exam-prep-13-medicare-advantage-ppo-rules
Text version: https://stenobird.com/podcast/insurance-exam-prep-7644557/ahip-medicare-exam-prep-13-medicare-advantage-ppo-rules.md
Podcast: [Insurance Exam Prep](https://stenobird.com/podcast/insurance-exam-prep-7644557)
Published: 2026-08-29T23:26:01+00:00
Episode link: https://open-exam-prep.com/
Audio file: https://episodes.captivate.fm/episode/5373f8af-02b1-43a9-a12c-d00fc893bb83.mp3
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Duration seconds: 234

## Resource

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Out-of-network providers are not obligated to treat PPO members for non-emergency or non-urgent care. - PPO plans do not require primary care physician selection or specialist referrals. - Differential cost sharing results in higher out-of-network copayments and coinsurance. - PPO rules require both an in-network MOOP and a combined in-network and out-of-network MOOP. - The FLEX mnemonic for remembering key PPO exam rules and avoiding common test traps. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep

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## Transcript

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