There are several different types of Medicare Advantage plans, which can make things even more confusing! The most important distinction between plans is whether they offer comprehensive coverage (also known as an all-in-one plan) or whether they specialize in a particular area, such as dental or vision coverage. Other important factors to consider include:
By taking all of these factors into consideration, you’ll be able to choose the best possible plan for your needs.
HMOs: An HMO plan only covers care from doctors who contract with the HMO. You will need to choose a primary care doctor from within the HMO network, and he or she will coordinate your care. These plans typically have lower premiums than other types of Medicare Advantage plans.
PPOs: A PPO plan covers care from in-network and out-of-network providers, but you will pay less if you use in-network providers. You do not need to choose a primary care doctor, and you do not need referrals to see specialists.
PFFS: A PFFS plan contracts with providers to provide services at a set price. You can see any doctor that accepts the plan’s terms and conditions. You do not need referrals to see specialists.
SNPs: An SNP is a type of Medicaid managed care organization (MCO) that limits membership to people with specific diseases or characteristics. These plans typically have lower premiums than other types of Medicare Advantage plans.