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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 include the following:

Health Maintenance Organization (HMO) Plan

In most HMO Plans, you can only go to doctors, other health care providers, or hospitals on the plan's list except in an emergency, for out-of-area urgent care or for temporary out-of-area dialysis. You may also need to get a referral from your primary care doctor to see other doctors or specialists. Find and compare HMO Plans in your area.

 

Preferred Provider Organization (PPO) Plans

A Medicare PPO Plan is a type of Medicare Advantage Plan (Part C) offered by a private insurance company. In a PPO Plan, 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.

Private Fee-for-Service (PFFS) Plans

A Medicare PFFS Plan is a type of Medicare Advantage Plan (Part C) offered by a private insurance company. PFFS plans aren’t the same as Original Medicare or Medicare supplement. The plan determines how much it will pay doctors, other health care providers, and hospitals, and how much you must pay when you get care.

Medicare Special Needs (SNP) Plans

Medicare SNPs are a type of Medicare Advantage Plan (like an HMO or PPO). Medicare SNPs limit membership to people with specific diseases or characteristics, and tailor their benefits, provider choices, and drug formularies to meet the specific needs of the groups they serve. 

Find out who can join a Medicare SNP

 

These definitions are directly from www.medicare.gov

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

Medicare Solutions
  • What is Medicare Supplement (Medigap) Insurance?
  • Compare Medicare Supplement plans side by side
  • Medicare Advantage Plans
  • Different Types of Medicare Advantage Plans
  • Part D Prescription Drug Plans
  • Medicare 2025 Costs at a Glance

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This is a solicitation. By providing your name and contact information you are consenting to receive calls, text messages and/or emails from a licensed insurance agent about Medicare Plans, Medicare Advantage, Prescription Drug Plans and/or Medicare Supplement Insurance at the number provided, and you agree such calls and/or text messages may use an auto-dialer or robocall, even if you are on a government do-not-call registry. Cellular carrier charges may apply. This agreement is not a condition of enrollment or provision of services. You may change your contact preferences at any time by contacting the agency. There's no obligation to enroll, current or future Medicare enrollment status will not be impacted, and automatic enrollment will not occur.

We do not offer every plan available in your area. Currently we represent 7 organizations which offer 62 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

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