BETA
Navigating networks
Health Maintenance Organizations (HMOs) require referrals from a primary care doctor to see specialists and do not cover out-of-network care. Preferred Provider Organizations (PPOs) offer more flexibility but charge higher fees for out-of-network visits.
Chapter 1
The birth of Original Medicare
Chapter 2
The rise of Medicare Advantage
Chapter 3
The battle of choices and prescriptions
Ch 2 · The rise of Medicare Advantage
hank Medicare Advantage Evolving
Medicare Advantage plans, private companies providing, all your benefits, plus more, dental and vision, your health care evolving.
hank Medicare Advantage plans require patients to use doctor networks, usually structured as HMOs or PPOs.
Fun Fact
Gym memberships: Many Medicare Advantage plans offer SilverSneakers, a program providing free gym access to millions of older adults.
hank Medicare Advantage plans often bundle dental, vision, hearing, and fitness benefits not covered by Original Medicare.
Glossary
medicare advantage (noun)
A federally approved private health insurance option that provides Medicare benefits to eligible citizens. By 2024, enrollment in these private options grew to over fifty percent of all eligible beneficiaries.
A federally approved private health insurance option that provides Medicare benefits to eligible citizens. By 2024, enrollment in these private options grew to over fifty percent of all eligible beneficiaries.
Quiz
Which of these is a benefit commonly offered by Medicare Advantage but NOT Original Medicare?
Quiz
What happens in a Medicare Advantage plan once you reach your annual out-of-pocket limit?