Medicare Advantage

There are numerous Medicare Advantage plans designed for different needs and requirements. Here are some of the most common Medicare Advantage Plans that are used widely across the U.S.:

Private Fee-for-Service (PFFS) Plans

These plans will determine how much they will pay and how much the individual will pay for their medical services.

Health Maintenance Organization (HMO) Plans

These plans are one of the most popular supplement plans. They are cheaper than other plans because they require their members to receive care within their provider networks. Members must also choose a primary care doctor from this network and get referrals when they need to see specialists.

Preferred Provider Organization (PPO) Plans

PPO plans are another popular option. They let their members go outside the provider networks to get care and will still provide coverage. However, the members will pay more by going outside the provider network. Members in this plan also don’t have to choose a primary care doctor or get referrals.

Special Needs Plans (SNPs)

These plans are specifically tailored to meet their members’ needs. But, to get one of these plans, the member has to qualify for it. They can qualify for a SNP if they meet three criteria:

• They have Part A and Part B.

• They live in the plan’s service area.

• They meet the eligibility criteria such as having a chronic condition, living in an institution, or having both Medicare and Medicaid.

Medicare Medical Savings Account (MSA) Plans

These plans will combine a high deductible health plan with a savings account to cover medical expenses. The member must pay the high deductible before coverage starts, but the savings account will include funds that can be used to pay on the high deductible.