00 2024 medicere ebook proof 3

4. SPECIAL NEEDS PLANS (SNPS)  SNPs are tailored for individuals with specific health conditions or characteristics, such as chronic diseases or institutional care needs.  The plan’s benefits and provider network are customized to address the needs of the targeted population.  Enrollment in an SNP is generally restricted to those who meet the plan’s specific criteria. 5. HMO POINT OF SERVICE (HMO-POS) PLANS  HMO-POS plans are a variation of HMOs that allow you to receive some services out of the network, often at a higher cost.  You must use your PCP for in-network referrals, but you can access certain specialized services out of network without referrals. 6. MEDICAL SAVINGS ACCOUNT (MSA) PLANS  MSA plans combine a high-deductible health plan with a medical savings account.  Medicare deposits a set amount of money into your savings account, towards payment for healthcare services until you reach the deductible.  Once the deductible is met, the plan covers Medicare-covered services. 7. MEDICARE COST PLANS (ONLY AVAIL. IN CERTAIN AREAS)  Medicare Cost plans are a less common type of plan that allows you to use both Medicare and out-of-network providers.  These plans follow different rules regarding how you get services in and out of network and may be more flexible in some cases. 8. PROVIDER SPONSORED ORGANIZATION (PSO) PLANS  PSO plans are offered by a group of healthcare providers, hospitals, or a healthcare system.  The network of providers is typically restricted to those within the organization. 9. TRIAL/INNOVATION PLANS  These are experimental or demonstration plans authorized by Medicare to test new approaches to providing healthcare services.  They are typically available for specific purposes and may have limited geographic availability.

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