PRODUCT DESCRIPTIONS
Stand-alone Medicare Prescription Drug Plans (Part D)
Medicare Prescription Drug Plan (PDP) — A stand-alone drug plan that adds
prescription drug coverage to Original Medicare, some Medicare Cost Plans, some
Medicare Private Fee-For-Service Plans, and Medicare Medical Savings Account Plans.
Medicare Advantage Plans (Part C) and Cost Plans
Medicare Health Maintenance Organization (HMO) — A Medicare Advantage Plan
that provides all Original Medicare Part A and Part B health coverage and
sometimes covers Part D prescription drug coverage. In most HMOs, you can only
get your care from doctors or hospitals in the plan’s network (except in
emergencies).
Medicare HMO Point-of-Service (HMO-POS) — A Medicare Advantage Plan that
provides all Original Medicare Part A and Part B health coverage and sometimes
covers Part D prescription drug coverage. HMO-POS plans may allow you to get
some services out of network for a higher copayment or coinsurance.
Medicare Preferred Provider Organization (PPO) Plan — A Medicare Advantage Plan
that provides all Original Medicare Part A and Part B health coverage and
sometimes covers Part D prescription drug coverage. PPOs have network doctors,
providers and hospitals but you can also use out-of-network providers, usually at a
higher cost.
Medicare Private Fee-For-Service (PFFS) Plan — A Medicare Advantage Plan in
which you may go to any Medicare-approved doctor, hospital and provider that
accepts the plan’s payment, terms and conditions and agrees to treat you — not all
providers will. If you join a PFFS Plan that has a network, you can see any of the
network providers who have agreed to always treat plan members. You will usually
pay more to see out-of-network providers.
Medicare Special Needs Plan (SNP) — A Medicare Advantage Plan that has a benefit
package designed for people with special health care needs. Examples of the
specific groups served include people who have both Medicare and Medicaid,
people who reside in nursing homes, and people who have certain chronic medical
conditions.
Medicare Medical Savings Account (MSA) Plan — MSA Plans combine a high
deductible health plan with a bank account. The plan deposits money from
Medicare into the account. You can use it to pay your medical expenses until your
deductible is met.
Medicare Cost Plan — In a Medicare Cost Plan, you can go to providers both in and
out of network. If you get services outside of the plan’s network, your Medicare-
covered services will be paid for under Original Medicare, but you will be
responsible for Medicare coinsurance and deductibles.
OTHER HEALTH-RELATED PRODUCTS
Dental/Vision/Hearing Products — Plans offering additional benefits for consumers
who are looking to cover needs for dental, vision, or hearing. These plans are not
affiliated or connected to Medicare.
Hospital Indemnity Products— Plans offering additional benefits; payable to
consumers based upon their medical utilization; sometimes used to defray
copays/coinsurance. These plans are not affiliated or connected to Medicare.
Medicare Supplement (Medigap) Products— Insurance plans that help pay some of
the out-of-pocket costs not paid by Original Medicare (Parts A and B) such as
deductibles and co-insurance amounts for Medicare approved services.
Our Medicare Insurance products are offered in all Colorado counties and other states. Plan availability, qualification, requirement, and restrictions apply. Please speak with a licensed agent for details at 1 (720) 744-0065. We do not offer every plan available in your area. Therefore, any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all your options.