NC Health Coverage, Al Crouse - NC Health Insurance  
   
 
 
 

Medicare Advantage PPO Plan Costs


Medicare Advantage PPO Plans

 

What is a Medicare Advantage PPO Plan?

A Medicare Advantage PPO PPOplan, or a Preferred Provider Organization is offered by a private insurance company. PPO Plans have network doctors and hospitals. Individuals enrolled in this type of plan can use out-of-network providers for covered services, but usually for a higher cost.

 

PPO Plan types

There are two types of Medicare Advantage PPOs, a Regional PPOs, which is set by Medicare and serves one of 26 regions. A Local PPOs serve the counties the PPO Plan chooses to include in its service area.

 

Benefits Covered under a Medicare Advantage PPO Plan

 

 

Are prescription drugs covered?

In most cases, yes. Ask the plan administrator. If you want drug coverage, you must join a PPO Plan that offers prescription drug coverage.

Do I need to choose a primary care doctor?

No.

Do I have to get a referral to see a specialist?

No.

 

Medicare Advantage PPO Plan Costs

If you enroll in a PPO Plan, costs associated with the plan include the following:

  • The Medicare Part B premium (for 2012, the premium is $99.90 for most individuals. Those enrolled in Medicare Part B after January 1, 2011 or whose income exceeds certain limits will pay a higher Part B premium).
  • Part A and Part B , prescription drug coverage , and extra benefits above the Medicare Part B premium
  • Deductibles, coinsurance, or copays associated with the selected PPO Plan
  • Maximum amounts, or caps, for out-of-pocket costs in a Regional PPO (for both in- and out-of-network care). For Local PPO Plan, the plan may or may not have a cap.

 

(Information obtained from ehealthmedicare.com) 




 
   
 


WELCOME  |  OUR STAFF  |  PRODUCTS  |  COMPARE  |  CONTACT US

 



sitemap
 

 
 

"Al Crouse & Associates is an independent authorized producer/agency licensed to sell and promote products from Blue Cross and Blue Shield of North Carolina (BCBSNC). The content contained in this site is maintained by Al Crouse & Associates. Blue Cross and Blue Shield of
North Carolina is an independent licensee of the Blue Cross and Blue Shield Association." Registered mark of the Blue Cross and Blue Shield Association.  
Copyright 2007 Al Crouse & Associates. North Carolina Web Design by AppNet.com
Memberships and Links:
Boone Weather | Boone NC Vacations | North Carolina Mountain Vacations | North Carolina Golf | North Carolina Ski Resorts