CDPHP Core

Could a Medicare Advantage HMO plan be right for you?

Typically HMO plans offer coverage for in-network providers only, with the exception of urgent and emergency care while out of the area. So if you don't receive routine care out of the area, an HMO plan might be a good fit. You'll also need to designate a primary care physician (PCP) to enroll in an HMO plan.

Check out the Medicare Advantage HMO plans listed below to see which one may best fit your needs.

Compare Plans

2027 CDPHP Medicare Advantage HMO New York county map

Core HMO¹
Monthly Premium² $15*
Primary Care Physician Office Visit Copayment $0
MD Live⁴ $0
Specialist Office Visit Copayment $35
Routine Annual Physical Exam Copayment $0
Urgent Care Copayment $50 worldwide coverage
Emergency Room Copayment² $100 worldwide coverage
Ambulance $165
Outpatient Surgery $225-$275
Physical Therapy $25
Inpatient Hospitalization Days 1-6: $300 per day
Dental allowance for all dental services: Routine cleaning/restorative/dentures to use at any dentist in the U.S. $1,000
Vision: Annual Routine Eye Exam $0
TruHearing^® Hearing Aid Benefit (per ear) $299 / $499 / $799
Silver&Fit^® Included Yes
Lab Services $0 or $5
X-rays $25
Advanced Imaging Studies (CT, MRI, etc.) $175
Out-of-Pocket (OOP) Max $6,400
Plan Documents Evidence of Coverage (EOC) & Summary of Benefits (SOB) Information
View a side-by-side comparison Medicare Advantage Plan Options

Core HMO¹

Monthly Premium²

$15*

Primary Care Physician Office Visit Copayment

MD Live⁴

Specialist Office Visit Copayment

$35

Routine Annual Physical Exam Copayment

Urgent Care Copayment

$50 worldwide coverage

Emergency Room Copayment²

$100 worldwide coverage

Ambulance

$165

Outpatient Surgery

$225-$275

Physical Therapy

$25

Inpatient Hospitalization

Days 1-6: $300 per day

Dental allowance for all dental services: Routine cleaning/restorative/dentures to use at any dentist in the U.S.

$1,000

Vision: Annual Routine Eye Exam

TruHearing^® Hearing Aid Benefit (per ear)

$299 / $499 / $799

Silver&Fit^® Included

Yes

Lab Services

$0 or $5

X-rays

$25

Advanced Imaging Studies (CT, MRI, etc.)

$175

Out-of-Pocket (OOP) Max

$6,400

Plan Documents

Evidence of Coverage (EOC) & Summary of Benefits (SOB) Information

View a side-by-side comparison

Medicare Advantage Plan Options

*Does not include Rx

Disclaimers:

Must use plan providers
You must continue to pay your Medicare Part B premium; You may qualify for lower premiums with EPIC or Low Income Subsidy.
Copayment waived if admitted to the hospital within 24 hours for the same diagnosis.
$0 copay is for medical visits only. Specialist copay for mental health visits.

CDPHP Core

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Could a Medicare Advantage HMO plan be right for you?