This type of Advantage plan has a network of doctors, specialists, hospitals, and other health care providers that you can choose to get care from. If you see providers that are within this network, your out-of-pocket costs will be minimal. You don’t have to see providers within this network, though. If you choose to seek care outside of the plan’s network, you will still be covered, but not fully. This means seeing out-of-network providers will cost more than seeing providers who are in your plan’s network.
With PPO plans, you are always covered for emergency and urgent care, as long as the services you receive are medically necessary. You can also have prescription drugs covered through most PPO plans. Make sure you choose a plan that covers prescription drugs if you need that benefit because you won’t be able to join a separate Medicare drug plan after joining Medicare Advantage PPO.
If you decide to purchase a Medicare Advantage PPO plan, make sure you compare your various options. Some plans come with prescription drug coverage, while others don’t. You can also find extra benefits in Medicare Advantage PPO plans, so it’s important to consider what is available before making a choice. Some extra benefits offered in Medicare PPO plans include: