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WHAT ARE THE MAXIMUM-OUT-OF-POCKET (MOOP) EXPENSES WITH MEDICARE?
In this article, we explain what the Medicare out-of-pocket maximum really means, how it works across different types of Medicare coverage, and how you can better insulate yourself from unexpected medical bills.
Medicare Advantage Plans Come In Different Sizes And Colors
All Medicare Advantage plans offer their own summary of benefits, and these benefits, as well as the plan’s formulary, pharmacy network, provider network, premium, and/or co-payments/coinsurance, may change on January 1 of each year.
Medicare Advantage HMO Plans
Medicare HMOs are common because of the lower premiums they often offer. In some plans, that premium may be as low as $0. However, you must remain enrolled in and pay for Medicare Part B. You usually must also use in-network providers, except in an emergency.
MEDICARE ADVANTAGE HMO PLANS = MEDICARE HEALTH MAINTENANCE ORGANIZATION PLANS
In HMO Plans, you generally must get your care and services from providers in the plan's network, except:
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