Plain-English definitions for every Medicare term — from ABN to ZIP enrollment. No jargon, no confusion.
Terms starting with "P" — 2 terms
A type of Medicare Advantage plan that allows you to see any provider who accepts Medicare, but you pay less when you use the plan's preferred (in-network) providers. Unlike HMOs, PPOs generally do not require referrals for specialists.
Also known as: PPO
Approval that your Medicare Advantage or Part D plan may require before you receive certain services or medications. Without prior authorization, the plan may not cover the cost. Original Medicare rarely requires prior authorization.
Also known as: Preauthorization, Pre-approval
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