HMO (Organización para el Mantenimiento de la Salud)

• Usually requires members to use doctors and hospitals
  within the plan's network, except for emergencies or
  other situations allowed by the plan.

• Members generally select a primary care provider
  who coordinates their care.

HMO-POS (Organización para el Mantenimiento de la Salud con Punto de Servicio)

• Combines features of an HMO with the ability to receive
  certain services outside the plan's network.

• Los servicios fuera de la red pueden tener costos más altos.

PPO (Organización de Proveedores Preferidos)

• Allows members to receive care from both in-network
  and out-of-network providers.

• Members generally pay less when using providers
  within the plan's network.

PFFS (Plan Privado de Pago por Servicio)

• Determines how much the plan will pay doctors and
  other healthcare providers and how much the member
  will pay.

• Members may be able to see providers that accept
  the plan's payment terms.

SNP (Plan para Necesidades Especiales)

• Designed for people with specific health or
  financial circumstances.

• Includes plans for people who live in institutions,
  have certain chronic conditions, or qualify for
  both Medicare and Medicaid.

MSA (Cuenta de Ahorros Médicos de Medicare)

• Combines a high-deductible Medicare Advantage plan
  with a medical savings account.

• The plan deposits money into the account to help
  pay for qualified medical expenses.

Plan de costos de Medicare

• A type of Medicare health plan that may allow members
  to receive services outside the plan's network.

• Members may return to Original Medicare for
  certain services.

Plan de medicamentos recetados de Medicare (PDP)

• A standalone Medicare Part D plan that provides
  prescription drug coverage.

• These plans are generally used with Original Medicare
  and may also coordinate with certain other
  Medicare coverage.

Medicare Supplement (Medigap)

• Private insurance policies that help pay some
  healthcare costs that Original Medicare does not cover.

• Depending on the policy, this may include certain
  deductibles, coinsurance, and copayments.

• Medigap policies generally require enrollment in
  Medicare Part A and Part B.

Productos dentales, de la visión y de la audición

• Products that provide additional benefits for dental,
  vision, or hearing services.

• Coverage and benefits vary depending on the specific
  product and plan.

• These products may be offered separately from
  Medicare health coverage.

Productos de indemnización hospitalaria

• Plans offering additional benefits; payable to
  consumers based upon their medical utilization;
  sometimes used to defray copays/coinsurance.

• Estos planes no están afiliados ni vinculados a Medicare.