Determine if a Medicare Advantage Plan is right for you
Medicare Advantage Health Plans
Medicare Advantage health plans offer all of the benefits covered under original Medicare and more. Many plans have no additional premium beyond your Medicare Part B premium. For plans with a monthly premium, rates are not based on age, gender or health condition. Also, most plans include Medicare Part D prescription drug coverage.
Many people also mistakenly believe that it is less expensive to go direct to the company to get the best price. It is illegal for a broker to charge more than the insurance company for the same coverage. The opposite is also true. Doesn't it simply make sense to use FREE expert help for a decision this important?
Medicare Advantage Plan Types
What is an HMO?
(Health Maintenance Organization). To receive care through an HMO, you must use a network doctor. Other Medicare plans are HMO plans that offer a Point-of-Service (POS) option where members have the flexibility to go out of the network with a referral to receive some health care services. Generally, copayments and coinsurance will be higher for care received outside of the plan's network.
What is a PPO?
(Preferred Provider Organization). A PPO is usually more expensive than an HMO, but you are paying to have the freedom to use doctors in network as well as out-of-network, which give you flexibility when choosing a doctor. However, if you choose to use an out-of-network doctor, you will pay a higher out of-pocket expense.
What is a PFFS?
(Private Fee For Service). Private Fee-For-Service plans give you the freedom to receive care from any Medicare approved provider who agrees to the plan's terms and conditions of payment, and you don’t need a referral to see a specialist. This plan combines the benefits and flexibility of private insurance with the predictability of controlled cost sharing. With a PFFS, you usually pay higher out-of-pocket costs, and there may or may not be a doctor network that you have to follow.