Offering you a little more flexibility overall. You do not need to select a primary care physician and you do not need referrals to see other providers in the network.
A preferred provider organization (PPO) is a Medicare plan that has created contracts with a network of 'preferred' providers for you to choose from at reduced rates.
This can be a extremely nice safety net.Īetna Medicare DMG Prime (PPO) is a Local PPO. This means that if you get sick or need a high cost procedure the co-pays are capped once you pay The Aetna Medicare DMG Prime (PPO) has a monthly premium of $0 and has an in-network Maximum Out-of-Pocket limit of $3,950 (MOOP). This plan includes additional Medicare prescription drug (Part-D) coverage. Aetna Medicare DMG Prime (PPO) H5521-314 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Aetna Medicare available to residents in Illinois.