One type of Medicare Advantage Plan is the Medicare PPO plan. Like employer-sponsored PPO plans, Medicare Part C PPO plans work with a specific network of doctors and hospitals. If you stick within the PPO network, you pay less out of pocket for your healthcare services. You can go outside the network, but it will cost you more.
Does Medicare Part C PPO Plans Cover Prescriptions?
Some Medicare Part C PPO plans cover prescriptions. If you want prescription coverage, the specialists at Senior Insurance Representatives can help you choose the right plan.
How does a Medicare Advantage PPO Plan Work?
You don’t have to choose a primary doctor with the Medicare Part C PPO plan. You are free to see any doctor, but as we said before, it benefits you to see a doctor within the PPO network. Before you accept a plan, see if your doctor is in the plan if you want to keep the same doctor.
You also don’t need a referral to see a specialist. As long as the doctor is within the PPO network, your Medicare Advantage plan should work. If not, you may still see the doctor; but it will cost you more out of your pocket.
What Else Should you Know About Medicare Advantage PPO Plans?
Medicare Advantage PPO plans combine the benefits of Medicare Part A and Part B. They may also include extra benefits, though, which is why many people choose it. While having both Part A and Part B in one policy is great, the additional benefits make it worthwhile and may include the following:
- Dental coverage
- Vision coverage
- Hearing coverage
- Wellness benefits
- Prescription coverage
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- Compare Costs of Plans
- Estimate Your Savings
- Help You With Enrollment
Enrolling in Medicare Advantage Plans
Whether you want a Medicare Advantage PPO or another Medicare Advantage plan, you must know when to enroll.
The easiest time is during your initial enrollment period. This starts three months before your 65th birthday and continues for three months after your birthday. If you miss this opportunity or want to enroll in Medicare Part C after enrolling in Part A or Part B, you must wait until the open enrollment period, which is October 15 to December 7 each year.
You may also change your Medicare Advantage Plan during the Medicare Advantage Open Enrollment Period, which is January 1 to March 31 every year.
Get Help from the Experts
At Senior Insurance Representatives, we are happy to help you navigate your different Medicare Part C PPO options. We know there are plenty of options and that they can be confusing. We’ll walk you through your coverage options and will help you select the proper plan for your needs. Call us today at 1-800-327-7888.
