(HMO Plans)
HMO plan members are required to use the plan’s in-network providers. Using providers outside of the plan’s network can result in no coverage, unless it’s an emergency. Plan members must also choose a primary care physician and receive referrals to see specialists. The limit for only using in-network providers keeps costs very low.
(PPO Plans)
PPO plans have more flexibility than HMOs, but will cost more. Plan members can receive coverage if they see providers who are in or outside of the plan network. However, expect to pay more by using out-of-network providers. Plan members will not have to choose a primary care physician or get referrals.
(SNP)
SNPs tailor their benefits to meet the needs of their plan members. Because of this, only certain individuals can qualify for a SNP. This includes individuals who are dually eligible for Medicare and Medicaid (D-SNP), who have chronic and disabling conditions (C-SNP), or who live in an institution, such as a nursing home (I-SNP).
(PFFS Plans)
PFFS plans will determine what they pay to hospitals, doctors, and other healthcare providers, and how much you will pay when you receive care or treatment. You can typically receive care from any doctor if they accept your plan’s terms. You also won’t have to choose a primary care physician or get referrals.
(MSA Plans)
MSA plans work similar to Health Savings Accounts. MSAs will combine a high-deductible plan with a medical savings account that can be used to pay your healthcare costs. The plan will deposit money into the account for you to use. With MSA plans, you can generally choose the provider you want to receive care from.
Our licensed agents will ensure your eligibility and find a Medicare Advantage plan that provides the coverage you deserve. All you have to do is click the button below to book your free consultation with us and we’ll get you heading in the right direction.
Plans are insured or covered by a Medicare Advantage (HMO, PPO and PFFS) organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.