Wisconsin Medicare Advantage Provider Networks
Most Wisconsin Medicare Advantage plans contract with a network of providers to perform services offered by those plans.
By seeing doctors within the network, your out-of-pocket costs may be limited to the copayment and coinsurance amounts within a given plan.
Some Medicare Advantage plans such as PPO plans give you the freedom to choose from any doctor, specialist or hospital that accepts Medicare, but you'll get the greatest cost savings from seeing in-network providers.
Before enrolling into a Medicare Advantage plan, there are some things to consider about provider networks:
Are the doctors you usually see in the plan's Network?
Make a list of your preferred doctors, specialists and hospitals and determine whether they’re in a plan you're considering.
You'll generally lower your costs by seeing these in-network providers as compared to visits to those outside the network.
Does the plan's network include a selection of nearby specialists?
Although you may not need any specialists now, there’s a chance you'll need one or more in the future.
Find out whether your plan has a selection of specialists where you live – this is especially important in rural areas where the number of specialists may be limited.
Is your preferred hospital in the network?
Medicare Advantage plan networks do not always include all the hospitals in that area.
If your doctors only refer their patients to a particular hospital, ask whether this hospital is in-network.
You'll typically pay lower out-of-pocket costs when admitted to an in-network hospital.
Does the plan pay any amount for care from providers outside the network?
Some Medicare Advantage plans pay a portion of the bills from out-of-network doctor visits, whereas others may pay nothing.
Always carefully examine the plan's rules for payments for out-of-network care.
An FFRG Medicare Advantage specialist can help you get all the answers to these questions and assist in choosing the right plan for you.
Call us today at 800-354-3548
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