Explore Medicare Advantage Plans and Other Options
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, for out-of-area urgent care or for temporary out-of-area dialysis. 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 Medicare supplement. 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.
Medicare Special Needs (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.
Coordinated Medicare/Medicaid Benefits
Did you know that you may qualify for a plan that integrates your Medicare and Medicaid benefits through a single entity?
Are You Eligible?
If you are 21 years of age or older, eligible for both Medicare and Medicaid, you are considered dual-eligible. Additionally, if you experience significant health or financial risks and require more attention and support to help you reach your health goals you would qualify for dual coverage.
What is a Medicare-Medicaid Coordinated Plan?
The Medicare-Medicaid Coordinated Plan is a program created to manage Medicare benefits as well as most Medicaid benefits, in addition to some supplemental services.
Medicare is the primary payer for people with dual eligibility. Medicaid coverage picks up the costs that Medicare may not cover, such as deductibles and coinsurance. Medicaid might also cover long-term nursing home expenses, personal in-home care and other supportive services not covered by Medicare.
Why Coordinated Care?
Coordinated care combines the coverage of Medicare and Medicaid benefits through a single source, which means your healthcare decisions are based on your specific needs.
How Can We Help You?
Let us know how can we help you.