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Medicare Advantage Plan Options For Georgia

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Medicare Advantage Plan Options

There are several types of Medicare Advantage Plans available in Georgia. Since each plan is slightly different it is very important to choose wisely. This page will provide simple, basic knowledge to help you understand the various plans. Each county offers different plans and premiums can range in price. You can request specific plan and benefit information by calling the toll free helpline at the top of the page or visit our contact page.

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Medicare Advantage Plan Choices Available

If you choose the correct type of Medicare Plan to fit your specific needs you can save thousands of dollars each year. You can choose a plan with or without part d coverage, however certain rules may apply.

HMO Plan: Also referred to as a Health Maintenance Organization. These plans have a contracted network of doctors and hospitals to serve their patients. An HMO plan works well for some folks and may offer more benefits and lower co-pays than other types of plans. You must generally use only the doctors that belong to the plans network except for emergency services. You may enroll in a HMO plan with or without Part D coverage. 

Listed below are a couple of important factors to consider if you choose this type of plan.

  1. Is your current Doctor or Hospital in the plans network?
  2. Which Hospitals are in the plan network?
  3. Will you be traveling often? If you travel often then you probably will want to choose another type of plan.
  4. How many total providers are included in the plans network?

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PPO Plan: Also referred to as a Preferred Provider Organization. These plans have a contracted network of Doctors, Hospitals, and Providers to serve their patients but also allow the patient to use non-network providers. The cost sharing to use a non-network provider will usually be slightly higher than the in-network providers. There are two types of PPO plans (local or regional).
These plans offer greater flexibility and are better plans for those who travel often. You may enroll in a PPO plan with or without Part D coverage.

Medicare Guide To PPO Plans

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PFFS Plan: Also referred to as Private Fee For Service Plan. These plans have the greatest flexibility. You may use a PFFS plan at any provider that accepts the terms and conditions of the plan. In most cases the provider will bill the plan directly. You may enroll in this type of plan with or without prescription drug coverage. You may also get your medical and Part D seperately when you have a PFFS plan. These plans are a good option in rural areas or for those who travel often. Unfortunately, due to funding cuts by the Government, the premiums and copays may be slightly higher than other types of plans and there may be little or no availability of plans depending on your location.

Medicare Guide To PFFS Plans

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This website is a private website and is not, associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains basic information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Government Medicare program please visit the Official US Government Site for People with Medicare located at www.medicare.gov
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