Medicare Advantage PPO Plans
Is a Medicare Advantage PPO plan right for you?
In a PPO Medicare Advantage plan, you have more flexibility, with coverage for both in-network and out-of-network providers. You will usually pay less when you visit an in-network doctor, hospital, or other provider.
With some plans, out-of-network services can also have a higher maximum out-of-pocket cost.
If you are wondering if a Medicare Advantage PPO plan is the right choice for you, or if you have specific questions about what the advantages are, we would love to help.
Do I have to pick a primary care doctor with a PPO Medicare Advantage plan?
Do PPO Medicare Advantage plans require referrals to see a specialist?
In most cases, referrals are not required to see a specialist in a PPO plan. It will generally be less expensive to see an in-network specialist than an out-of-network specialist.
Does a PPO Medicare Advantage plan cover prescription drugs?
- Most Medicare Advantage PPO plans are MAPD plans, which do cover prescription drugs. You will need to consult the plans Summary of Benefits to determine if prescription drugs are covered.
- Plans designed for Veterans do not normally cover prescriptions drugs, as to not conflict with Veteran’s benefits.