Category: Medicare Insurance

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Medicare Star Rating: Understanding the 5-Star System for Medicare Companies

Medicare Insurance
The 5-star rating for Medicare companies is based on surveys of members and providers as well as what is covered by the plan. 1 star is the lowest ranking of these plans and 5 stars is the highest ranking, based on surveyed member satisfaction, provider satisfaction and what types of services are covered by the individual Medicare company.
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PPO or HMO in Medicare Advantage: What Do They Mean?

Medicare Insurance
The main difference between these plans is that with a PPO, you can see a provider out-of-network, you don’t need a referral to see a specialist, and you are not required to have a primary care physician. With an HMO, you generally can’t leave your network to see a provider or specialist unless it’s a medical emergency or you require access to a specialist that is not in-network. HMOs generally have lower monthly premiums, coinsurance and copayments.
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