A Guide to Medicare HMO and PPO Options

Health insurance plans aren't simple. They can be complicated and hard to sort through, making choosing a plan more difficult than it should be. 

When you're looking for the right plan for your Medicare coverage in New Jersey you may see phrases like Medicare HMO or PPO. There are significant differences between these two types of plans and understanding them can help you choose the best coverage for your healthcare needs in the most affordable way possible.

Medicare Advantage plans offered in New Jersey are either an HMO and PPO and the plans available to you depend on the county that you live in.  

Medicare HMO options in New Jersey

The main fact to know about HMO (Health Maintenance Organization) plans is that they are a network of healthcare providers and you must see doctors, hospitals, and healthcare services in the network in order to have coverage.  The only exception is if you have an emergency. 

New Jersey Medicare Brokers can help make sure the doctor and hospital you want to see are covered by your Medicare HMO plan.  If your selected doctor(s) is not in the network, you'll need to seek out other options, which could be the tiebreaker between choosing between Medicare HMO and PPO plans.  When you choose an HMO plan, you'll have to pick a PCP (Primary Care Provider) to be your doctor, whereas a PPO plan doesn't have these restrictions.

How Does a Medicare PPO Differ from an HMO?

Medicare PPO (Preferred Provider Organization) plans are less restrictive and allow you to see doctors and hospitals in network and out of network. Some plans allow you to see doctors in network or out of network at the same out of pocket cost to you, whereas other plans may have a deductible and higher costs to see out of network providers.  

There are many Medicare HMO and PPO plans available in New Jersey at $0 per month!  In order to enroll in a Medicare Advantage plan you must be enrolled in Medicare Parts A and B and continue to pay your Medicare B premium.  New Jersey Medicare Brokers offer both HMO and PPO Medicare plans and will shop the market to find the plan that makes the most sense for you.

Get More Information About Medicare HMO and PPO in New Jersey

It may take some research to determine which Medicare HMO and PPO plans would be the best for your needs, but there are numerous ones from which to choose. To get guidance when picking between Medicare HMO and PPO plans and providers, contact New Jersey Medicare Brokers today.