Types of Medicare Advantage in Maine, Explained
A Medicare Advantage plan is a type of health insurance that is offered through a private company. It provides all of your Medicare benefits in Maine.
In Maine, Medicare Advantage Plans include:
ME HMO Plans: Health Maintenance Organization (HMO) Plan
Most Medicare Advantage plans only allow you to go to certain healthcare providers, hospitals, or doctors' offices, except in an emergency. You can also ask your primary care doctor for a referral to other specialists or doctors. See and compare different types of HMO Plans in your area.
ME PPO Plans: Preferred Provider Organization (PPO) Plans
A Medicare Advantage plan known as a PPO Plan is a type of insurance that's typically offered by a private company. It provides lower prices when you use health care providers that are part of the plan's network. However, it can also cost more if you use other providers outside of the network.
ME PFFS Plans: Private Fee-for-Service (PFFS) Plans
A Medicare PFFS Plan is a type of insurance that's typically offered by a private company. Unlike traditional Medicare or Medigap, it doesn't provide the same level of benefits. It determines how much it will pay for various healthcare services, including hospitalizations and doctors' offices.
ME SNP Plans: Medicare Special Needs (SNP) Plans
A Medicare SNP is a type of insurance that's typically offered by a private company. It limits membership to people with specific conditions or characteristics, and it can customize its benefits and drug formularies to meet the needs of its Maine-based members.