Health Maintenance Organization (HMO) Plan
In most HMO Plans, you generally must get your care and services from providers in your plan's network, like:
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Doctors
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Other health care providers
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Hospitals
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You may also need to get a referral from your primary care doctor.
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 Medgap. 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 Plans (SNP)
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. Medicare SNPs tailor their benefits, provider choices, and drug formularies to best meet the specific needs of the groups they serve.
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