Preferred Provider Organization (PPO)
Get a FREE QuoteA Preferred Provider Organization (PPO) plan is one of the more common types of Medicare Advantage plans. These plans are offered by private insurance companies and will provide you with the same coverage as provided by Original Medicare. Before you are able to join a PPO plan, you have to be enrolled in Original Medicare first.
Like other Medicare Advantage plans, PPOs may also offer extra benefits, such as hearing, vision, or dental coverage. Most of the time, PPO plans will also include prescription drug coverage. However, if you join one of these plans that doesn’t include prescription drug coverage, you will not be able to join a Part D prescription drug plan.
A: For the most part, PPO plans do not require you to use their preferred providers when receiving your care, but it will cost you less if you do so. PPO plans will generally give you the flexibility to go to hospitals, specialists, or doctors of your choice.
You also won’t be required to choose a primary care doctor, and in most cases, you won’t need a referral to see a specialist. Do keep in mind, though, that you will pay less by seeing a specialist within your plan’s preferred network rather than seeing a specialist that’s outside of the network.
When compared to Health Maintenance Organization (HMO) plans, PPO plans will provide you with more flexibility, but they will cost more. To ensure you are choosing the right Medicare Advantage plan for your needs, we will help you compare these options!
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Signature Medicare Solutions helps Medicare beneficiaries enroll in Medicare Advantage plans. Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply. Signature Medicare Solutions all rights reserved. Signature Medicare Solutions is not affiliated with or endorsed by any government entity. This is an advertisement for insurance. Not all carriers offer these benefits. Plans vary by region and state. Limitations and exclusions may apply. We do not offer every plan available in your area. Currently we represent multiple organizations which may offer several products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options. Plans are insured by a Medicare Advantage (HMO, PPO and PFFS) organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in a plan may be limited to certain times of the year unless you qualify for a Special Enrollment Period or you are in your Medicare Initial Enrollment Period. Enrollment depends on plan’s contract renewal with Medicare.