But PPO plans allow members to get out-of-network services for a higher copay. Preferred provider organizations (PPO) also use provider networks. If you join an HMO plan, you'll also need to choose a primary care doctor and get a referral to see a specialist. Most HMO plans don't cover non-emergency care from an out-of-network provider. HMO plans use provider networks to help control costs. Health maintenance organizations account for over half of all MA plans. There are four common types of Medicare Advantage plans in Texas. ![]() Types of Medicare Advantages plans in Texas Find the full list of qualifying special circumstances on. You may be eligible for a Special Enrollment Period (SEP) if you experience certain life changes. If that change causes you to lose your prescription drug coverage, you can join a standalone Medicare Part D plan. You may also choose to return to Original Medicare. You can also sign up for a Part C plan during the Medicare Annual Enrollment Period (AEP) that occurs every year from October 15 until December 7.įrom January 1 through March 31, the Medicare Advantage Open Enrollment Period lets people who already have a Part C plan switch to a different one. After General Enrollment ends, you can join an Advantage plan between April 1 and June 30. ![]() It is for anyone who did not sign up for Medicare Part A and/or Part B during their IEP. The General Enrollment Period begins January 1 and ends March 31. So, if your 65th birthday or 25th month of collecting disability benefits occurs in June, your IEP is from March 1 through September 30. It lasts for 7 months and starts 3 months before your Medicare eligibility month. You may first join a Medicare Advantage during your Initial Enrollment Period (IEP). When can you sign up for a Medicare Advantage plan in Texas?
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