Medicare Advantage Plans (Part - C) include the following:
■ Health Maintenance Organization (HMO) Plans.
■ Preferred Provider Organization (PPO) Plans.
■ Private Fee-for-Service (PFFS) Plans.
■Medical Savings Account (MSA) Plans.
■ Special Needs Plans (SNP).
There are other less common types of Medicare Advantage Plans that may be available:
■ Point of Service (POS) Plans—Similar to HMOs, but you may be able to get some services out-of-network for a higher cost.
■ Provider Sponsored Organizations (PSOs)—Plans run by a provider or group of providers. In a PSO, you usually get your health care from the providers who are part of the plan.
Not all Medicare Advantage Plans work the same way, so before you join, find out the plan’s rules, what your costs will be, and whether the plan will meet your needs.
Medicare Payments, Reimbursement, Billing Guidelines, Fees Schedules , Eligibility, Deductibles, Allowable, Procedure Codes , Phone Number, Denial, Address, Medicare Appeal, EOB, ICD, Appeal.
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