PPO Plans

WHAT ARE PPO PLANS?

Preferred Provider Organization (PPO) Plans are a type of Medicare Advantage Plan. Like any Medicare Advantage Plan, you acquire it through private insurance. You’ll get all the benefits Original Medicare would give you, plus more.

What makes this plan unique is the ability to pick your doctors and other healthcare practitioners. However, you will pay less for doctors in your plan’s network. In other words, those healthcare providers are the providers that you prefer (hence the plan’s name).

HOW PPO PLANS WORK

Unlike the HMO Plan, you can see doctors outside your plan’s network. However, you’ll pay more to see the doctors of your choice.

Drug coverage is another feature, much like other Medicare Advantage Plans.

Choosing a primary care doctor isn’t always necessary. Many plans will not force you to select a primary care doctor. Also, these plans often do not require referrals to see specialists.

LIMITATIONS

Some plans may not have drug coverage. If your plan doesn’t offer drug coverage, you won’t be able to get drug coverage from a separate Medicare plan. To learn if the Medicare Advantage and PPO Plans are the right fit for your medical needs, contact our Medicare Specialist today.