What’s The Difference Between A Medicare Advantage HMO and PPO?

Did you know that there are multiple different types of policies within Medicare? Understanding these policy types is important so that you can be sure you’re on the right track. If you’re going to be entering retirement soon, it’s important that you give some thought to your Medicare options. Enrolling in Medicare is an excellent way to save some money and make sure that you have access to quality healthcare.

Medicare Advantage Explained

Medicare Advantage is the alternative to Original Medicare. There are some coverage options when it comes to Medicare Advantage, so you can choose the areas that make the most sense for you. Many people appreciate Medicare Advantage for its extended policy options.

Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO) plans are both available within Medicare Advantage. While there are some similarities between these two policies, there are also lots of differences. Understanding these differences is important, especially if you’re going to be enrolling soon. Choosing between an HMO and PPO is important and a decision that usually requires some research.

HMO Plans

HMO plans are a great option if you’re planning on staying within your network. Medicare promises coverage when it’s within an HMO’s network, which is important to keep in mind. If you end up going outside of the network for care, then you will most likely not receive coverage. However, there are some exceptions to this. One of the exceptions is if you’re receiving emergency medical care.

PPO Plans

PPO plans are similar to HMOs, except they’re more relaxed when it comes to networks. If you end up receiving care that’s outside of your network, then you may have some coverage, but still be prepared to pay a little bit out-of-pocket. If you’re not sure about the providers within your network and you want to have some flexibility, then a PPO might be the right option for you. This policy is great for those that are wanting to save some money while still continuing to see their favorite doctors.

Which Plan Is Right For You?

Making the decision between an HMO or a PPO is a big one. If you’re feeling confused or overwhelmed, then consider making an appointment with a member of our team. We love helping our clients make important Medicare decisions!

Give us a call today.