What is the difference between a Medicare Supplement and a Medicare Advantage PPO Plan? I am turning 65 and I am being bombarded with marketing material. Friends have told me that a Medicare Advantage PPO Plan is the same as a Medicare Supplement because both have a network of doctors to pick from. My retiree employeer medical plan now has a Medicare Advantage PPO. I am concerned if a medical incident happens – will the providers I am seeing now accept this Medicare Advantage PPO Plan?
Stephen, from Denver
Are Medicare Supplements and Medicare Advantage PPO Plans the Same?
Your friends have given you wrong information regarding Medicare. This can lead you to choose the wrong plan! Medicare Supplements and Medicare Advantage Plans are completely different types of Medicare policies.
With a Medicare Supplement, there is not a network of any kind. You have the freedom to use any healthcare provider or facility that will bill Medicare. The Medicare Supplement will pay what your Medicare Parts A and B will not.
With a Medicare Advantage PPO Plan, there are lower cost in-network providers or facilities as well as out of network benefits that will cost you more. In 2022, a popular Medicare Advantage PPO Plan has a maximum ranging from $5,400 to $7,550 in-network, while out of network costs range from $7,550 to $11,300.
Most never consider they could have an out of network provider or facility for their medical claim, but in these current times, many healthcare providers and facilities are out of network with a Medicare Advantage PPO Plan.
Let’s take a look at the key differences in the two plans:
What You Don’t Know Will Hurt You!
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Originally published September 30, 2022