Medicare PPO Plans differ in the amount they charge for premiums, deductibles, and services. The PPO Plan (rather than Medicare) decides how much you pay for the covered services you get. Contact the plan before you get services to find out how much you will have to pay and if the service you want is covered.
Generally, you will get more benefits for lower costs than the Original Medicare Plan. However, you may be able to get extra benefits for an additional premium. Every Medicare PPO Plan must pay for all medically-necessary covered services, but every plan is different in what you must pay. Contact the Medicare PPO Plan you are interested in to find out more.
Your costs depend on the following:
- Which Medicare PPO Plan you choose
- Whether the plan charges an additional monthly premium
- Whether the doctors, hospitals, and other providers you go to are part of or outside of your plan’s network
- How much the plan charges per visit
- How often and the type of health care you get
- Which extra benefits are covered by the plan
