Medicare

Medicare Advantage is a type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits.

Different Types of Medicare Advantage Plans

Medicare Advantage is a type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits.

Medicare Advantage Plans consist of:

Health Maintenance Organization (HMO) Plan

You can only visit doctors, health care providers, or medical facilities on the plan’s list in most HMO Plans. And that changes only in an emergency. You might also have to obtain a referral from your primary care physician to visit other specialists or practitioners. Find and compare HMO Plans in your area.

Preferred Provider Organization (PPO) Plans

A Medicare PPO Plan is a variety of Medicare Advantage Plan (Part C) provided by a private insurance company. Your costs are radically smaller in a PPO Plan if you use hospitals, practitioners, and health care providers within the plan’s network.

Private Fee-for-Service (PFFS) Plans

A Medicare PFFS Plan is a kind of Medicare Advantage Plan (Part C) provided by a private insurance company. PFFS programs are not the same as Original Medigap or Medicare. It’s up to the plan to determine how much it will compensate for your medical expenses and how much you will have to pay yourself.

Medicare SNPs are a kind of Medicare Advantage Plan (like an HMO or PPO). Medicare SNPs restrict membership to specific groups of people with particular diseases and ensure that their benefits and provider choices best serve their specific needs. Find out who can join a Medicare SNP.

Picture of a doctor examining a patients broken leg

These definitions are directly from www.medicare.gov

By contacting the phone number on this website you will be directed to a licensed agent.