Health New England Medicare Advantage PPO Plans

Compass PPO & Compass Premier PPO Plans

Flexibility matters. Whether only spending part of the year in western Massachusetts, or simply looking for a plan that lets you see any provider who accepts Medicare, it’s important to pick a plan that not only travels with you – it’s important to pick a plan that covers all of your health care needs, no matter where you are.

Similar to Medicare Supplement plans, our Medicare Advantage Compass PPO plans let you visit any provider in the country who accepts Medicare. But unlike our Medicare Supplement plans, our PPO plans feature monthly premiums as low as $0, comprehensive medical coverage, built-in prescription drug coverage and over $600 in additional benefits.

You have two PPO (Preferred Provider Organization) plan options to choose from. See all plan details here  

PPO Plan Highlights

  • Comprehensive medical and prescription drug coverage
  • No medical deductibles
  • No referrals
  • See any provider who accepts Medicare
  • Special travel benefit (more info below)
  • Worldwide emergency coverage

Special PPO Travel Benefit

Our PPO plans offer a Travel Benefit should you need care outside of the Health New England provider network. You can use your Travel Benefit anywhere in the United States, outside of Massachusetts. When you get medical services outside of Massachusetts, you pay the same copayment/coinsurance as you would if you received those services from in-network providers. (Out-of-network costs apply when services are obtained from out-of-network providers within the state of Massachusetts.)

Extra Value Benefits

Although premiums and copayments/coinsurance may vary among our HMO and PPO plans, you still get over $600 in extra value benefits with both types of plans, including: 

  • Over-the-counter items quarterly allowance
  • Preventive hearing exams
  • Hearing aid benefit from TruHearing®
  • Preventive vision exam and eyewear allowance from EyeMed®
  • Dental services reimbursement
  • Fitness center/weight management programs/acupuncture/activity tracker reimbursement
  • Nutritional education sessions with a nutritionist
  • Teladoc® medical care telehealth services

Read about these comprehensive additional benefits here.

HMO vs. PPO—Similarities & Differences

The chart below explains the similarities and differences between our Medicare Advantage PPO plans and our HMO (Health Maintenance Organization) plans:


HMOvsPPO.jpg

For more information about our PPO plans and to enroll, click here >

Out-of-network/non-contracted providers are under no obligation to treat Health New England Medicare Advantage members, except in emergency situations. Please call our Member Services number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.

Although a primary care provider is not required for PPO plans, having one is highly recommended for continuity of care.

Last updated: 10/1/23