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Gee Daniel Insurance Agency Blog

Want To Upgrade To A Medicare Advantage PPO Plan?

9/6/2022

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​Maintaining good health is important as one grows older, so Medicare provides several healthcare plans for those 65 and above to choose from, depending on what works best for them. 

Original Medicare services are provided courtesy of the government, so it is limited, unlike a Medical Advantage PPO (Preferred Provider Organization) plan offered by private insurance companies. You deserve to be covered on all fronts for your health, so here is why you need to sign up for a Medicare Advantage PPO plan.
What is the Medicare Advantage PPO Plan all About?
Health insurance comprises different plans regarding the cost, duration of the plan, and services offered. When you understand these different plans and what they offer, you can easily choose what you want.

Medicare Advantage is similar to standard Medicare because it provides for both your Medicare Part A and B with some added coverage. Medical Advantage has several plans under it, and these are the common ones:
  1. Medical Advantage PPO (Preferred Provider Organization) Plan
    As a patient under this plan, you are awarded the chance to select from a list of healthcare workers and doctors provided by the private insurance company or healthcare workers outside the provision of the company that accepts Medicare. The provision to choose your doctor is why it is termed as a preferred provider organization plan, and here you do not need to be referred to see a specialist.

  2. Medical Advantage HMO (Health Management Organization) Plan
    The HMO plan works based on referral services when you need to see a specialist. Here, you are assigned to a primary care doctor and advised to stick to the network of already provided healthcare workers. If you choose to select a doctor outside of those provided, you will have to pay the full cost of treatment.

Medical Advantage PPO Plan Coverage
Most Medical Advantage PPO plans cover Medicare Part A, B, and D( prescription drug coverage). Sometimes, the coverage extends to dental and vision visits, where their fares are also covered. You get to enjoy all these shortly after you enroll.

CONCLUSION
Upgrading to a Medical Advantage PPO plan gives you more coverage, provided you pay for premiums, deductibles, and copayments. When you choose an outside provider, part of the cost will be covered by your insurance plan, which is the reverse of an HMO plan where you cover all expenses.

At Gee Daniel Insurance Agency, we put our clients first by offering them policies that they can afford. Having insurance is a necessity nowadays, and we're here to help you out. Learn more about our products and services by calling our agency at (831) 920-3536. You can also request a free quote by CLICKING HERE. Any coverage discussed is not guaranteed. Please contact us today to go over your policy to ensure your needs are met! We are here and happy to help.
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Salinas, CA 93906
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  • Home
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