What is a Medicare Advantage Health Maintenance Organization (HMO)?
These plans offer a set of pre-determined and pre-paid services provided by a network of physicians and hospitals which have a contract with the Medicare Advantage Plan. When you enroll in an HMO, you must use network providers except in emergent or urgent situations. If you obtain routine care from out-of-network providers neither Medicare nor Carilion Clinic Medicare Health Plan will be responsible for the costs.