Are There Medicare Part C Plans Other Than Basic HMOs?

Medicare Part C is also known as Medicare Advantage Plan. This is in addition to Medicare Part A and Part B. Since Part A is intended to cover hospital costs and Part B covers medical expenses, Part C covers the co-pays and deductibles required under the other two. Additionally, Part C allows for more options to choose from in regards to the type of coverage you have. In order to enroll in Part C a person must also be enrolled in Medicare Parts A and B.

Medicare Part C And HMO’s

If you have Medicare Part A and Part B coverage you are allowed to choose the doctors of your choice. This is considered a traditional plan. However, Medicare Part C requires a person to work with a specific group of doctors and facilities that are listed in a specific network.

Where Does A Person Get Part C?

Medicare Part C plans can be purchased through private insurance companies. These plans may or may not be available in certain areas. This depends on the area and the population. This allows companies to charge different amounts for plan coverages. Medicare Part C requires the recipient to pay a premium.

The Four Options Available For Medicare Part C

Medicare Part C offers four options. Each of these work in conjunction with a Health Maintenance Organization, also known as an HMO. Joining an HMO requires a person to choose only a doctor who works within the network. If you need help from a specialist you must first obtain a referral from your primary care physician. The Point of Service option allows you to choose your doctor and specialist. It pays less toward services if the doctor is not a part of the network. The PSO, Provider Sponsored Organization, are made up of facilities that provide medical care and insurance coverage. Everything is taken care of by the PSO facility. Finally, the PPO, Preferred Provider Organizations offers the same benefits as the POS. The difference is that POS is mostly available in rural areas.

Related posts

1. What Are Some Alternatives to Medigap Plans?
2. What Are Some Alternatives To Medigap Plans?
3. How Can I Avoid High Co-Pays and Other Out of Pocket Expenses While On Medicare?
4. Which Medicare Advantage Plans Does Humana Offer?
5. What Are the Plans Under Medicare+ Choice?

Send this page to a friend ...

Enter friend's email address
.