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PPO Plans

Preferred Provider Organization (PPO) plans are a part of Medicare Advantage and provide care coordination to lower your out-of-pocket expenses. You may choose to add it or any of the 4 Medicare Advantage plans to your Original Medicare coverage. Let’s look at this plan to see if it is the best option for your healthcare needs and budget.

How PPO Plans Work

PPO plans, like all Medicare Advantage plans, have an established network of healthcare providers, doctors, specialists, and hospitals. Within this network, you may receive care at a reduced cost.

However, unlike other Advantage plans, PPO plans offer more flexibility for out-of-network care. While providers within the network are less expensive, you may still go out-of-network for care. The plan will have a cap on your out-of-pocket charges, so you do not have to worry too much about, say, receiving out-of-network care in the case of emergencies.

Features of a PPO Plan

PPO plans are great for those who want a little more flexibility than available under other Advantage plans. Some of its most important features over other plans is that is:

  • Allows for doctors in more cities and states than other Medicare plans
  • Does not referrals needed for specialist care
  • Does not require primary care doctors
  • Covers prescription drugs (in most cases)

If your PPO plan does not offer prescription drug coverage, you always have the option to add Medicare Part D to your plan as well. In terms of cost, like all Advantage plans, you will still have to pay your Part B premium. Specifically, to this plan, you must pay its monthly premium, a yearly deductible, and certain copayments depending on the status of the healthcare provider.

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Give Us a Call Today

World Financial Solutions will do what it takes to ensure that your insurance needs are met. Whether you need help choosing an Advantage plan or just have a few questions, we’re here for you. For a free consultation, give us a call at 281-639-7787.