A Medicare PPO Plan is a type of Medicare Advantage Plan (Medicare Part C) offered by a private insurance company. PPO Plans have network doctors, other health care providers, and hospitals. You pay less if you use doctors, hospitals, and other health care providers that belong to the plan's network. You pay more if you use doctors, hospitals, and providers outside of the network.
In most cases, you can get your health care from any doctor, other health care provider, or hospital in PPO Plans. Each plan gives you flexibility to go to doctors, specialists, or hospitals that aren't on the plan's list, but it will usually cost more.
In most cases, prescription drugs are covered in PPO Plans. Ask the plan. If you want Medicare drug coverage, you must join a PPO Plan that offers prescription drug coverage. Remember, if you join a PPO Plan that doesn't offer prescription drug coverage, you can't join a Medicare Prescription Drug Plan (Medicare Part D).
You don't need to choose a primary care doctor in PPO Plans.
In most cases, you don't have to get a referral to see a specialist in PPO Plans. If you use plan specialists, your costs for covered services will usually be lower than if you use non-plan specialists.
Medicare Advantage Plans, sometimes called "Part C" or "MA Plans," are an “all in one” alternative to Original Medicare. They are offered by private companies approved by Medicare. If you join a Medicare Advantage Plan, you still have Medicare. These "bundled" plans include Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance), and usually Medicare Prescription Drug plan (Part D).
Medicare Advantage Plans cover all Medicare services. Some Medicare Advantage Plans also offer extra coverage, like vision, hearing and dental coverage.
Medicare pays a fixed amount for your care each month to the companies offering Medicare Advantage Plans. These companies must follow rules set by Medicare.Each Medicare Advantage Plan can charge different out-of-pocket costs. They can also have different rules for how you get services, like:
What you pay in a Medicare Advantage Plan depends on several factors.
Most Medicare Advantage Plans include Prescription Drug Coverage Medicare Part D). You can join a separate Medicare Prescription Drug Plan with certain types of plans that:
Medigap policies can't work with Medicare Advantage Plans.
Copyright © 2023 Braden MSI Insurance- All Rights Reserved.
"Not affiliated with the U.S. Government or Federal Medicare Program"
Powered by GoDaddy
We are a licensed, independent Medicare Broker since 2015. We are passionate about helping seniors and we are dedicated to educating them about Medicare. We are going to treat you like a member of our own family. We'll ask you questions and then get busy helping you you with your Medicare Health Insurance plans. You can call or email us for a free, complimentary review of your current plan. We will even assist you with getting enrolled if you need it. At Braden Medicare, we make learning easy and you'll be speaking Medicare fluently in no time!
(480) 418-7968
This website uses cookies. By continuing to use this site, you accept our use of cookies.