Why Networks Matter
Information about Medicare provided by Alight Retiree Health Solutions
When you’re shopping for Medicare coverage, it’s important to understand the health plan’s network – the doctors and other providers with whom a plan contracts to provide care at a lower cost. Make sure your doctors are “in-network” to avoid paying more.
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Medicare Advantage plans
If you enroll in a Medicare Advantage plan, you can choose from a Health Maintenance Organization (HMO) plan or a Preferred Provider Organization (PPO) plan.
HMO plans require you to get care from doctors in the plan’s network. If you use a doctor outside the network, the plan may not cover the cost. PPO plans have a network of “preferred” doctors, and in most cases, you can see anyone in the network. If you see a doctor that’s not in network, you may pay a greater share, but the PPO typically covers some of the expenses.
Medigap plans
Medigap plans don’t have networks; you can see any doctor who takes Medicare. If your doctor doesn’t take Medicare, you may pay more, so be sure to ask before your appointment.
You can use Medicare’s physician compare tool to find doctors who accept Medicare.
For help evaluating your options, your doctors, and the available networks, Alight Retiree Health Solutions can help. These services are provided at no extra cost to Alumni. Learn more.
Medicare has neither reviewed nor endorsed this information.
We do not offer every plan available in your area. Currently we represent 68 organizations nationally which offer 3932 products nationally. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
The number of organizations and products available will vary by ZIP Code area and may be updated periodically. Any information we provide is limited to those plans we do offer in your area.
Alight Retiree Health Solutions is available through Alight Health Market Insurance Solutions Inc., a third-party marketing organization (TPMO), retained to promote or sell a plan sponsor’s Medicare products on the plan sponsor’s behalf who holds the contract with the Federal government. Alight Retiree Health Solutions represents Medicare Advantage (HMO, PPO, PFFS) organizations and stand-alone PDP prescription drug plans. Each of the organizations represented by Alight Retiree Health Solutions has a Medicare contract. Enrollment in any plan depends on contract renewal. Alight Health Market Insurance Solutions Inc. is contracted to represent insurance plans in your state. California Agency License Number: 0E97576, Arkansas Agency License Number: 100102657, DBA in North Dakota: Alight Health Market Insurance Solutions Inc, Fictitious Name in New York: Alight Health Market Insurance Agency
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