Types of Medicare Advantage plans: Which one is right for you?
Frequently asked questions about types of Medicare Advantage plans
How do HMO and PPO Medicare Advantage plans differ?
HMO plans use a network of participating doctors and hospitals for your care, except for emergencies, and may require referrals to see specialists. PPO plans typically don’t require referrals to see specialists, and they allow you to see providers in and out-of-network, usually at a higher cost.
What is the difference between Medicare Advantage and Original Medicare?
Original Medicare is provided by the federal government and includes Part A (hospital insurance) and Part B (medical insurance). Original Medicare allows you to see any provider that accepts Medicare but does not include extra benefits like dental, vision, hearing, or prescription drug coverage. Medicare Advantage plans are offered through private insurance companies. It includes all services covered by Original Medicare (Part A and Part B) and sometimes Part D (prescription drugs) in one plan, plus extra benefits like dental, vision, hearing, fitness memberships, and an allowance for over-the-counter products.
Are prescription drugs covered under Medicare Advantage plans?
Many Medicare Advantage plans include prescription drug coverage (Part D). However, not all plans include drug coverage, so it’s important to check each plan’s benefits to make sure your medications are covered.
Can I switch between different Medicare Advantage plan types?
Yes, you can switch Medicare Advantage plans during certain times of year, such as the Annual Enrollment Period (Oct. 15 – Dec. 7) or the Medicare Advantage Open Enrollment Period (Jan. 1 – March 31), if you’re eligible.
