A Preferred Provider Organization (PPO) plan lets a plan member see any provider outside of the plan’s preferred network! However, using one of the preferred providers in the plan’s network can result in you paying less out-of-pocket for your treatment or care.
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In general, PPO plans have the attractive feature of allowing a beneficiary to see any provider, unlike HMO plans, which limit them only to providers on the plan’s network!
PPO plans also do not require their plan members to choose a primary care doctor or get referrals to see specialists.
One thing you need to be aware of is that Medicare Advantage Plans are required to provide all the services that Original Medicare provides. They also can provide additional benefits which can include:
Before you can join a PPO plan, you need to be within a plan’s service area. If you’re interested in learning more about the coverage and flexibility you can receive with a PPO plan, as well as if you’re in the service area of a PPO plan, give us a call today!
IMPORTANT NOTICE FOR MEDICARE SALES CALLS
Due to large amount of deceptive television commercials regarding Medicare health plans, new regulations and disclosures are now required to prevent misleading information and provide Medicare beneficiaries with greater clarity and understanding of products being offered.
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.
We are not connected with or endorsed by the United States government or the federal Medicare program. 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.