There are multiple different plan options within Medicare. Understanding the different plan options is important when it comes to selecting the right one for you.
Medicare Advantage is a type of Medicare policy that’s sold through private insurance companies. They’re in charge of enrollment and work closely with Medicare to ensure that the policies they sell are in line with guidelines.
While Original Medicare plans are set in stone, Medicare Advantage plans may include additional coverage benefits that you wouldn’t initially get with Original Medicare.
Medicare Advantage policies can range in price. How much the policy costs will depend on the amount of coverage that it provides its beneficiaries. There are a variety of plans available within Medicare Advantage, with HMOs being one of those options.
Health Maintenance Organization Plans
HMO (Health Maintenance Organization) policies are one of the options within Medicare Advantage. One of their key characteristics is that they require beneficiaries to seek care within the network and there are only a few exceptions to this. Understanding this is incredibly important and one of the best ways to be sure that you’re using your insurance to its full extent.
HMO policies ask their beneficiary to select a primary care doctor. This doctor can help keep track of the patient’s health and be a medical point of contact in the future. This doctor will also be responsible for writing referrals, which are required to see specialists. Many people find that HMOs are the right option for them and provide them with an excellent level of network coverage.
Is an HMO the Right Choice for You?
If you’re looking for a Medicare Advantage plan with network coverage and a primary care doctor, then a HMO might be the right choice for you. The alternative to HMO plans are PPO plans, which are similar but have less strict network coverage. If this option sounds like it could be the right choice for you, consider doing some research to learn about the plan options.
Because Medicare Advantage plans are sold by private insurance companies, it’s important to work with someone you trust. They’ll be able to provide you with information and suggestions when it comes to important insurance decisions. If you’re looking for a local agency that puts you first and will provide you with great customer service, reach out to Catron Insurance Agency today!