Different Types Of Medicare Advantage Plans (Part C)
Health Maintenance Organization (HMO) Plan
In HMO Plans, you can only go to doctors, other health care providers, or hospitals that are in the plan’s network except in an emergency. You may also need to get a referral from your primary care doctor. As an Independent Agent, we can help you find and compare plans available to you; plans available are based on your permanent residence and vary by county/city.
How Medicare SNPs Work
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 best meet the specific needs of the groups they serve. Find out who can join a Medicare SNP.
How PPO Plans Work
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 in the plan’s network. You pay more if you use doctors, hospitals, and providers outside of the network.
How PFFS Plans Work
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 Medigap. 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.