Medicare Advantage PPO Plans For California

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If you go to out-of-network providers, the PPO still provides coverage but at a lower rate than normal (i.e., your copayment will be higher). In a PPO, you generally do not need a referral to see a specialist or an out-of-network provider.

In 2011, California has 2 regional PPOs available statewide; 1 offers Part D drug coverage and the other does not. PPO plans have a deductible that must be met before benefit costs are covered, but it does not apply to certain benefits, such as doctor visits and preventive services. They also have an annual limit on out-of-pocket costs. After you have spent the out-of-pocket maximum, the plan pays 100% of all covered services for the remainder of the year.

Note: Due to health care reform, all MA plans, not just PPOs, now have a maximum out-of-pocket (MOOP) limit. See Costs & Benefits for more info. View California Medicare PPO Ratings

Medicare Health Maintenance Organization (HMO)
Private Fee-for-Service Plans
Medicare Special Needs Plans
Medical Savings Accounts (MSAs)

Call our toll-free number or fill out the Quick web form to get Medicare Advantage Plan Information or Question Answered. We can answer any questions you may have to help you understand the plan differences and we will gladly assist you through the enrollment process.

Choosing you policy can be as simple as 1-2-3 with our highly skilled and qualified staff of Medicare Advisors.

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California Medicare PPOs - like Medicare HMOs - have networks of providers. If you see providers in the network, you will pay a lower copayment than if you go to providers outside the network (these are known as out-of-network or non-preferred). Get PPO Plan Information for your county and zip code.