HMO, PPO, OR SNP PLANS
More information on the different types of Medicare Advantage Plans available in Washington.
HMO
An HMO gives you access to certain doctors and hospitals within its network. A network is made up of providers that have agreed to lower their rates for plan members and also meet quality standards. But unlike PPO plans, care under an HMO plan is covered only if you see a provider within that HMO's network.
PPO
PREFERRED PROVIDER ORGANIZATION
PPO plans provide more flexibility when picking a doctor or hospital. They also feature a network of providers, but there are fewer restrictions on seeing non-network providers. In addition, your PPO insurance will pay if you see a non-network provider, although it may be at a lower rate.
DSNP
DUAL SPECIAL NEEDS PLAN
A DSNP is a special type of Medicare Advantage Prescription Drug Plan (MA-PD) that provides benefits to members who qualify for Medicare and are receiving full Medicaid benefits and/or assistance with Medicare premiums or Medicare Parts A & B cost sharing through one of the Medicare Savings Program (MSP) categories.
CSNP
CRONIC SPECIAL NEEDS PLAN
Chronic-Condition Special Needs Plans (C-SNP): These plans serve beneficiaries with certain severe or disabling chronic conditions, such as cancer, chronic health failure, or HIV/AIDS. Chronic-Condition Special Needs Plans may target a single chronic condition or more than one condition.
