How to Choose a Medicare Advantage Plan in 2025: HMO vs PPO and More

A doctor consulting with a senior woman about insurance

Medicare Advantage Plans (also known as Medicare Part C) continue to grow in popularity thanks to their all-in-one design and added benefits. These plans often include extras like vision, dental, and hearing coverage—things Original Medicare doesn’t offer.

But not all Advantage Plans are created equal. Understanding how to compare them is essential to choosing the best coverage for your health and your wallet.

What Is Medicare Advantage?

  • Combines Parts A, B, and usually D into one plan
  • Offered by private insurance companies approved by Medicare
  • May include extras like transportation, fitness memberships, or over-the-counter allowances

HMO vs. PPO Medicare Advantage Plans

HMO (Health Maintenance Organization):

  • Requires you to use in-network providers
  • Referrals needed for specialists
  • Lower costs, more restrictions

PPO (Preferred Provider Organization):

  • More flexibility to see out-of-network providers
  • No referrals needed
  • Higher premiums, more freedom

Important Factors to Compare in 2025

  • Monthly premiums
  • Max out-of-pocket costs
  • Prescription drug formularies
  • Network coverage (local and national)
  • Plan Star Ratings from Medicare

Tips for Comparing Plans During Open Enrollment

  • Use the Medicare Plan Finder tool
  • Check provider and pharmacy networks
  • Review drug coverage annually
  • Get help from a licensed insurance agent for unbiased support

Overwhelmed by Medicare Advantage choices? Contact ACBS Insurance Services for free, expert help comparing plans for 2025.

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