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Different Types of Medicare Advantage Plans

Medicare Advantage is a type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits.

Medicare Advantage Plans include the following:

Health Maintenance Organization (HMO) Plan

In most HMO Plans, you can only go to doctors, other health care providers, or hospitals on the plan's list except in an emergency. You may also need to get a referral from your primary care doctor to see other doctors or specialists. Find and compare HMO Plans in your area.

 

Preferred Provider Organization (PPO) Plans

A Medicare PPO Plan is a type of Medicare Advantage Plan (Part C) offered by a private insurance company. In a PPO Plan, you pay less if you use doctors, hospitals, and other health care providers that belong to the plan's network. You pay more if you use doctors, hospitals, and providers outside of the network.

Private Fee-for-Service (PFFS) Plans 

A Medicare PFFS Plan is a type of Medicare Advantage Plan (Part C) offered by a private insurance company. PFFS plans aren’t the same as Original Medicare or Medigap. The plan determines how much it will pay doctors, other health care providers, and hospitals, and how much you must pay when you get care. (Offered in limited areas in the US)

Medicare Special Needs (D-SNP & C-SNP) Plans

Medicare SNPs are a type of Medicare Advantage Plan (like an HMO or PPO). Medicare SNPs limit membership to people with specific diseases or characteristics, and tailor their benefits, provider choices, and drug formularies to best meet the specific needs of the groups they serve. Find out who can join a Medicare SNP


These definitions are directly from www.medicare.gov

By contacting the phone number on this website you will be directed to a licensed agent.

Medicare Options
  • Medicare Plan Information
  • Medicare: What you need to know
  • Medicare Advantage Plans
  • What is Medicare Supplement (Medigap) Insurance?
  • Compare Medicare supplement and Medicare Advantage
  • Part D Prescription Drug Plans
  • Are You Eligible for Medicare?
  • Different Types of Medicare Advantage Plans
  • Compare Medicare Supplement plans side by side

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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. Networks (Medical Groups) and Medications vary by plan please verify this information with your AGENT before choosing a plan.

Starting October 1, 2022 CMS requires all Medicare Clients or Prospect calls to be recorded and saved for 10 years.

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