Medicare Advantage Below members will find helpful links and resources regarding the Medicare Advantage (MA) program and plans. Common types of MA plans Local HMOs and PPOs contract with provider networks to deliver Medicare benefits and represent the majority of Medicare Advantage coverage. Private Fee-for-Service plans (PFFS), as authorized in 1997, were not required to establish networks, but since 2011, have generally been required to do so. Regional PPOs were established to provide rural beneficiaries greater access to Medicare Advantage plans, and cover entire statewide or multi-state regions. Special Needs Plans (SNPs), typically HMOs, are designed for beneficiaries who: (1) are dually eligible for Medicare and Medicaid; (2) live in long-term care institutions (or would otherwise require an institutional level of care); or (3) have certain chronic conditions. CMS Resources Medicare Advantage Payment guide for out-of-network payments CMS Overview of Private Fee for Service Medicare Advantage Plans Medicare Managed Care Manual, including a chapter on relationships with providers.