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Medicare Preferred Provider Organization Plans (PPO)

Preferred Provider Organization Plans (PPOs) are among the most common and popular health plans right now for working Americans. In a PPO you:

  • Don’t need referrals to see a specialist provider out-of-network. You may need plan approval before you get certain services in and/or out-of-network.

  • Can see any doctor or provider that accepts Medicare. However, if you go to doctors, hospitals, or other providers who are not part of the plan, you may pay more.

  • You continue to pay your Medicare Part B premium and a PPO premium.

  • Co-payments apply to some services and some services.