Current Medicare Advantage Plans
Health Maintenance Organization
Health Maintenance Organization health plans only allow coverage from in-network providers unless it’s an emergency.
You’ll choose a primary care doctor that manages your medical care. HMO-managed care plans focus on wellness and strive to maintain your health.
The healthcare provider aims to find and treat health concerns early. Focused healthcare will enable health conditions to be treated early and potentially avoided.
Preferred Provider Organization
Preferred Provider Organization plans will allow access to out-of-network services and providers.
In most cases, you’ll pay more for out-of-network services. You could be required to pay the total cost upfront and submit the bill to the plan for reimbursement.
Private Fee For Service
Private Fee For Service can include prescription drug coverage. PFFS plans allow you to visit any nationwide health care provider participating in the Medicare program.
You must verify with the health care provider before each visit. You can add a standalone Part D plan if you’re enrolled in a PFFS plan without drug coverage.
PFFS plans are the Medicare Advantage option that allows the addition of a standalone drug plan.
Special Needs Plans
Special Needs Plans are for Medicare beneficiaries that have particular situations like chronic healthcare needs, Medicaid, or living in an institution.
SNP plans include benefits that are specific to the needs of these beneficiaries. Special Needs Plans are usually HMOs that have drug coverage.
Medicare Advantage plans are calendar year contracts. You can only enroll if you are in an enrollment period or a qualified situation.