What is a Medicare Advantage HMO?
A. An HMO is an alternative to Original Medicare and features specific lists of doctors, hospitals, and other providers that you must use to receive benefits. HMOs often provide additional benefits not found in Original Medicare, including coverage for deductibles, steep reductions in co-insurance when you use doctors, a drug benefit plan and wellness or fitness programs. If you select a Medicare Advantage HMO, it replaces your Original Medicare coverage. However, you can return to Original Medicare down the road if you wish.
A. An HMO features specific lists of doctors, hospitals, and other providers that you must use to receive benefits. HMOs often provide additional benefits not found in Original Medicare, including coverage for deductibles, steep reductions in co-insurance when you use in-network doctors, a drug benefit plan and wellness or fitness programs. If you select a Medicare Advantage HMO, it replaces your Original Medicare coverage. However, you can return to Original Medicare down the road if you wish.
Related Questions
- A patient was admitted as an inpatient into our acute facility and had an HMO Medicare Advantage plan that termed one week after admission. Is the MA plan liable for the entire inpatient stay?
- Does enrolling in an Aetna Medicare Dual Advantage Plan (HMO) affect my Medicaid coverage and my Medicare Part D low income subsidy ("extra help")?
- How can I convert from Kaiser Senior Advantage or Pacificare Secure Horizons to a Medicare HMO?
