- A Medicare Health Maintenance Organization (HMO) Plan is a type of Medicare Advantage Plan that is offered by private insurance companies. These plans are designed to provide coverage for the services covered under Original Medicare (Parts A and B), as well as additional benefits such as vision, dental, and hearing coverage.
- One of the main benefits of a Medicare HMO Plan is that it can provide beneficiaries with access to a wide range of medical services and benefits all in one place. These plans often have lower out-of-pocket costs than Original Medicare and may also include additional benefits such as routine vision, dental, and hearing coverage.
- Medicare HMO Plans typically require beneficiaries to choose a primary care physician and to get a referral from that physician in order to see a specialist. These plans may also have a limited network of healthcare providers and facilities that beneficiaries can use in order to receive coverage.
- It is important to note that Medicare HMO Plans are required to provide at least the same level of coverage as Original Medicare, but they may have different rules and restrictions on coverage. In addition, individuals who enroll in a Medicare HMO Plan may be required to use certain healthcare providers or facilities in order to receive coverage.
