HMO Q7. This all sounds good, but what are the disadvantages of a Medicare HMO?
HMO A7. Medicare HMO’s may not be the right health plan for everyone. To be eligible for a Medicare HMO, you must reside in the HMO’s service area for at least nine months each year. HMO’s cover health care services that are ordered and managed by your primary care physician. If you go to a non-HMO doctor, you may not get coverage unless it is an emergency or urgent situation. If you travel frequently for extend periods of time the HMO coverage may not be right for you. Our goal is to help you make sure you have the right health plan for you and your spouse and dependents. Therefore, we encourage you to carefully evaluate the information you receive from Medicare HMO’s so you can make the best choice of health plans.