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PPO Plans
Preferred Provider Organization (PPO) is a type of Medicare Advantage plan offered by private companies.
How does a PPO Plan work?
PPO is a health insurance plan that contracts with medical providers. This allows you to save money by using healthcare providers within the plan’s network. You also have the flexibility to see doctors, hospitals, and other providers outside of the network without a referral, though this will incur higher out-of-pocket costs.
PPO Plan Basics
You do not need to select a primary care provider, and you can see specialists without a referral, though obtaining one might help reduce your costs.
If you prefer to see a provider outside your network for a covered service, you will still receive coverage as long as the provider accepts Medicare. While this will likely result in higher out-of-pocket costs, the flexibility of a PPO plan offers you the freedom to choose your preferred medical professionals, making it an empowering option.
Size of Network:
One or more counties
Plan Availability:
Most common Medicare Advantage PPO plan
Specified Primary Care Physician (PCP):
In most cases, no
Referrals Required:
No
Maximum Out-of-Pocket:
Yes (in-network and out-of-network)
Ready to enroll in a PPO Plan now?
To apply for a Medicare Advantage plan, you must first be enrolled in both parts of Original Medicare. Enrollment periods are specific, so you should discuss these with your agent. If you’ve already spoken to one of our Complete Coverage agents, click on their name below to enroll yourself today.
Maximize your coverage, consult an agent today.
We can help you find a policy tailored to your needs and navigate the complexities of a Medicare Advantage plan, ensuring you have peace of mind with proper coverage.