How PPO Plans Work
A Medicare PPO Plan is a type of
offered by a private insurance company. PPO Plans have network doctors, other health care providers, and hospitals. You pay less if you use doctors, hospitals, and other health care providers that belong to the plan's
. You pay more if you use doctors, hospitals, and providers outside of the network.
Can you get your health care from any doctor, other health care provider, or hospital?
In most cases, you can get your health care from any doctor, other
, or hospital in PPO Plans. Each plan gives you flexibility to go to doctors, specialists, or hospitals that aren't on the plan's list, but it will usually cost more.
Are prescription drugs covered?
Do you need to choose a primary care doctor?
Do you have to get a referral to see a specialist?
What else do you need to know about this type of plan?
- A PPO Plan isn't the same as or a Medicare Supplement Insurance (Medigap) policy.
- PPO Plans usually offer extra than Original Medicare, but you may have to pay extra for these benefits.