Plain-English definitions for every Medicare term — from ABN to ZIP enrollment. No jargon, no confusion.
Showing 2 results for "Referral" — clear search
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
The main doctor who manages your overall health care and refers you to specialists when needed. Some Medicare Advantage HMO plans require you to choose a PCP and get referrals from them before seeing a specialist.
Also known as: PCP, Primary care doctor
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