Question

Mrs. Ramos is considering a Medicare Advantage PPO and has questions about which providers she can go to for her health care. What should you tell her?

Answer 1

Answer: Mrs. Ramos can obtain care from any provider who participates in Original Medicare, but generally will have a higher cost-sharing amount if she sees a provider who/that is not part of the PPO network.

Explanation:

Medicare Advantage refers to a form of health insurance plan whereby Medicare benefits is provided through a private-sector health insurer. Medicare Advantage PPOs allows one see doctors outside the plan network.

Based on the information given, Mrs. Ramos can obtain care from any provider who participates in Original Medicare, but generally will have a higher cost-sharing amount if she sees a provider who/that is not part of the PPO network.