← Return to Brinsupri follow-up
Discussion
MAC & Bronchiectasis | Last Active: 58 minutes ago | Replies (131)
Comment receiving replies
Replies to "@rmoore901 I actually have a PPO with my Humana. It's called Humana Choice PPO. At first..."
Connect

@kathyjjb thanks for clarifying that. Good to know. I just found this article which is informative so sharing the info.
Medicare Advantage. This is a private insurance alternative to original Medicare. These plans provide Part A, Part B and usually Part D benefits. They also may offer some benefits that original Medicare doesn’t, such as dental or vision care.
Medicare Advantage plans generally have a provider network, like the health maintenance organization (HMOs) and preferred provider organizations (PPOs) offered in many workplaces. They may charge more or may not cover care for out-of-network doctors and hospitals, except in emergencies.
Some Medicare Advantage plans require a referral from a primary care physician before they will cover specialist care. The plans are required to limit the amount of money you pay in copayments, deductibles and other out-of-pocket expenses, not counting premiums, each year. In 2024, the maximum out-of-pocket limit is $8,850 for care in your plan’s network, excluding prescription drug cost sharing, but some plans have lower caps.
You are not allowed to have a Medicare Advantage plan and a Medigap policy at the same time.