Alandra Mothorpe-Boyle
Senior Health Insurance Specialist

Alandra-Mothorpe-Transparent

Do Medicare Advantage payments count towards my “out of pocket” maximum?

Yes. In 2026, all Medicare Advantage plans have an out-of-pocket maximum, also called a MOOP. This is the most you’ll pay for Medicare-covered medical services in a year. Once you reach your MOOP, your plan pays 100% of covered services for the rest of the year. The maximum MOOP allowed by Medicare in 2026 is […]

What’s the difference between a Medicare Advantage HMO and a PPO?

HMO stands for Health Maintenance Organization and is a type of plan that requires you to see doctors in its network. If you see a doctor outside the network, you will be responsible for all of the costs. The only exception to this is medically necessary emergency or urgent care services. There is also a […]